Medspa Confidential — The Podcast with Dr. Kate Dee

Medspa Confidential Podcast

From Fake Botox and Fake Doctors to Preserving youthful skin and longevity, listen to the wild world of medical aesthetics

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Med Spa Confidential

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2026 (36 episodes)
September 9, 2026  ·  44:22

Med Spa Crackdown: Why States Are Finally Enforcing the Rules ft. Attorney Brett Elliott

A woman walked into a med spa for a routine Botox appointment and never walked out, and the person who was supposed to be supervising her care wasn't even in the building.

Full show notes

That's not a rare horror story. It's happening across the country right now, and Dr. Kate Dee wants you to understand exactly why before you book your next appointment.

In this episode, she sits down with Seattle healthcare attorney Brett Elliott to unpack the wave of new med spa laws sweeping through states like Indiana, Georgia, Oklahoma, and Illinois.

They dig into a disturbing loophole called the "ghost medical director," where a licensed physician signs a contract, collects a fee, and never actually sees a single patient.

You'll also hear how an FDA raid on a Texas med spa uncovered an unmarked vial of Botox in a dumpster, tied to a chain of suspiciously cheap Groupon deals. And in New York, a recent sweep of over 300 med spas found multiple violations including one where investigators found fentanyl on site.

Brett brings the legal expertise to explain what these law changes actually mean for you. Together, they hand you the exact questions to ask before you sit down in that chair, so you're never the patient who finds out the hard way.

Stay until the end, because the story about what happened in New York will change how you look at that med spa on the corner.

Press play and learn how to spot a fake medical director before it costs you your safety.

Brett Elliott: https://www.hklaw.com/en/professionals/e/elliott-brett?

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September 3, 2026  ·  14:22

I Secretly Shopped a Med Spa: They REFUSED to Answer This Question

She asked one question. "Are you a nurse?" The woman holding the microneedling pen didn't answer.

Full show notes

A consumer took a Groupon deal, got the treatment, and got pitched on Botox while she was still in the chair. The whole thing sat wrong with her. So she went looking for someone who could tell her whether the place was even legal, found the Med Spa Board, and sent an email.

Dr. Kate Dee opened it and started digging.

You get the investigation in the order she ran it. The website with two names and no credentials next to either one. The reviews, and the pattern in them that should have been the first warning. The state license lookup, which takes about four minutes and anyone can do it from a phone.

Then the call to the woman named as medical director on that website. She picked up. Wait until you hear what she said about her name being on there.

And then Dr. Dee called the spa herself, as a customer, asking the same things you'd ask. What came back wasn't a phone call. It was one line, and it confirmed everything she suspected.

This place has been open for more than four years.

If you've ever booked a treatment because the price felt like a steal, you'll find out what that price was actually buying you. And if you're an injector or an owner who knows you're not fully compliant, stay to the end. Dr. Dee tells you exactly where to start.

Press play and learn how to check any med spa yourself before you ever sit in that chair.

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August 26, 2026  ·  40:56

The Wellness Trends Doctors Say Are a Waste of Money ft. Dr. Stephanie Rogers, Geriatrician

What if up to half of all dementia cases could be prevented, and the two things that matter most in midlife are things almost nobody checks?

Full show notes

Host Dr. Kate Dee sits down with Dr. Stephanie Rogers, a board-certified internist and geriatrician who teaches medicine at UCSF, to talk about what the research actually says about protecting your brain.

If you've assumed dementia is all genetics, or that prevention starts at 70, this changes the timeline. The window is open right now, in your 30s, 40s, and 50s.

Dr. Rogers walks through the big international review that identified 14 factors with real evidence behind them, and she names the two midlife factors with the strongest link of all. Most people are in denial about both.

She also takes on the social media myth about statins, explains where GLP-1 research really stands right now, and shares why the brain game apps you've been faithfully doing every morning may not be doing what you hoped.

Together they get into sleep trackers, supplements, your nightly glass of wine, and the one habit that turns out to be about as protective as exercise, and that hardly anyone talks about.

Stay to the end. Dr. Rogers turns all 14 factors into a short list of things to ask your doctor for at your next physical.

Press play and learn what you can still control while it's early enough to matter.

Dr. Stephanie Rogers IG: https://www.instagram.com/agewellwithdrsteph/?hl=en

Dr. Stephanie Rogers Substack: https://substack.com/@agewellwithdrsteph

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August 19, 2026  ·  9:41

When I Say NO to Teen Laser Hair Removal (Doctor Explains)

Who is really asking for that laser treatment, the teenager sitting in the chair or the parent standing behind her?

Full show notes

Dr. Kate Dee says the answer changes everything. And it is often not the answer the family walks in expecting.

Dr. Dee opens up her own consult room and walks you through one of the most uncomfortable conversations in aesthetics: when a minor is brought in for permanent hair removal.

She has treated teens. She has also turned families away at the door. Skin type and hair color decide whether the treatment can work. Something else entirely decides whether it should happen at all.

You'll hear the red flag that makes her stop a consult, why she personally takes the blame for saying no instead of letting her nurse practitioner or PA carry it, and why she believes this call can never sit with an esthetician.

If you're a parent weighing this for your kid, you'll understand what a careful clinic actually digs into before anyone books. If you own or work in a med spa, you'll get a clear line for where consent gets complicated with a minor and how to handle it without losing the family.

Stay to the end, because Dr. Dee settles whether "permanent" really means permanent, and why that word carries more weight at 17 than it does at 30.

Press play and learn the one red flag that should stop a teen consult before the laser ever turns on.

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August 12, 2026  ·  48:59

Is Your "Natural" Look Actually Aesthetic DRIFTING? (Surgeon Explains) ft. Dr. Scott Miller

Why does overdone always look normal to the person it happened to? Host Dr. Kate Dee sits down with Dr. Scott Miller, a board-certified plastic surgeon in San Diego who has spent his career fighting for one thing: results that look natural instead of overdone.

Full show notes

The two of them get honest about how your sense of normal quietly drifts until you cannot see it anymore, why one of the newest filler trends is leaving people with strange bulges they never asked for, and how a brand new cadaver fat product just landed in the middle of a regulatory fight in New York.

You will hear how to read a provider's website and staff before you ever book, why two careful doctors refuse to chase every shiny new procedure, and what really separates a skilled injector from what Dr. Miller flatly calls the jerk at the end of the needle.

If you have ever felt pushed toward the latest thing, or worried you are sliding toward a face you never wanted, this conversation gives you a way to stop and choose smart. It is straight talk for anyone getting work done, and a wake up call for anyone doing the work.

Press play and learn how to spot the latest thing from the greatest thing before you pay for it. Dr. Scott Miller’s Website: https://www.millercosmeticsurgery.com/

Dr. Miller’s Book: Authentic Beauty: Defining a New Standard for Care and Results in Plastic Surgery

Dr. Miller’s LinkedIn: https://www.linkedin.com/in/scottrmillermdfacs/

Dr. Miller’s Instagram: https://www.instagram.com/millercosmeticsurgery/

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August 5, 2026  ·  8:40

Why I Say NO to Body Skin Tightening (Doctor Explains)

What if the body-tightening treatment being sold to you produces results so subtle that you barely notice them?

Full show notes

In part four of her Why I Say No series, Dr. Dee takes on one of her biggest industry pet peeves: body skin tightening.

Body skin tightening is often marketed as a nonsurgical way to create a tighter stomach, firmer arms, or smoother thighs. But before you spend money on a treatment package, Dr. Kate Dee wants you to understand what these devices can and cannot realistically accomplish.

You will learn why the smoother skin you see immediately after some treatments may be temporary swelling rather than genuine tightening. Dr. Dee explains how heat-based devices stimulate collagen, why she considers one heavily marketed device overhyped, and which treatment method she prefers for the right areas.

But there is an important catch. A treatment that creates a noticeable improvement on the face or neck may produce a disappointing result on the abdomen, arms, or thighs.

Dr. Dee explains why body skin behaves differently, who might see a modest improvement, and why even a technically successful treatment may still leave most patients wondering whether it was worth the money.

If you have loose skin after pregnancy, weight loss, GLP-1 use, or aging, listen before purchasing a body-tightening package

Press play to learn where skin tightening can deliver, where it usually falls short, and why an ethical provider should sometimes talk you out of treatment.

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July 29, 2026  ·  43:59

My Real MedSpa Consult From Start to Finish

Ever look at a famous face and think, "What happened?"

Full show notes

It's usually not aging. It's the wrong treatment, done in the wrong spot, for the wrong reason.

In this episode, Dr. Kate Dee does something she's never done before. A live, unrehearsed consult with her girlfriend Deb, 51 and completely cold.

You'll find out the three big things that quietly start changing your skin, some as early as your 20s, and why most people don't notice until it's staring back at them in the mirror. Dr. Dee breaks down what actually works, what's a waste of your money, and which popular treatment she flat-out refuses to do in one risky area of the face because she's seen too much go wrong with it.

If you've ever booked something and just hoped for the best, this is the roadmap you wish you'd had first. Whether you're a provider trying to raise your standards or someone who just wants to age well without looking "done," you'll walk away knowing what to ask before you say yes.

Press play and learn what your injector may never tell you before they pick up the syringe.

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July 22, 2026  ·  56:26

Med Spa Scope of Practice: Who Can Legally Inject You? | The Legal NP, Jamie Weiland

What if the person who approved your injection never actually saw your face?

Full show notes

The truth is, they may have never been in the room with you at all. All it takes is a few minutes on a video call, a quick signature, and suddenly there's a needle full of something you can't see going into your body.

This is happening right now in med spas across the country, and most people have no idea it's the only exam standing between them and serious harm.

Host Dr. Kate Dee sits down with Jamie Weiland, known online as The Legal NP, who spends her days reviewing the cases that end careers and leave patients disfigured. Dr. Dee brings her own perspective as a physician and med spa founder who has watched this industry cut corners from the inside.

Together they expose who's really allowed to touch your face, and who's gambling with your safety to make a quick buck.

You'll learn why the consent form you signed may protect nobody. You'll discover the dangerous gap between a skill someone picked up in a weekend and the knowledge that actually keeps you alive. You'll hear how a routine treatment can turn into a disaster in seconds.

Stay until the end, when they get into the doctor now facing murder charges over a patient he never even met.

Press play and learn what's really going into your body before you say yes.

Connect with Jamie: HERE

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July 15, 2026  ·  14:05

Why I Say No to Filler: 5 Areas I Refuse to Inject (Doctor Explains)

What if the treatment you have been asking for is the one your injector should be talking you out of?

Full show notes

Dr. Kate Dee believes filler can produce excellent results when it is used for the right patient, in the right area, for the right reason. But she has also seen it used to treat problems it was never designed to fix.

In the second installment of her “Why I Say No” series, Dr. Dee explains where she still uses dermal filler, where she usually refuses to inject it, and why she has no filler in her own face.

Her biggest concern is when filler accidentally enters or compresses a blood vessel and blocks blood flow. Although it is uncommon, it can cause tissue damage or necrosis, and many clinics may not be properly equipped to recognize and treat it.

In this episode:

Dr. Dee shares where she still uses filler when the goal is to restore volume that has genuinely been lost. But when skin laxity, movement, or another issue is causing the concern, she believes a different treatment may be safer and more effective.

For patients, this episode explains what to ask before agreeing to filler and why your injector should be prepared to say no. For providers, it is a clear example of clinical judgment putting patient safety ahead of making a sale.

Listen before booking your next syringe and learn which areas Dr. Dee believes they are worth treating and which ones are not worth the risk.

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July 8, 2026  ·  48:26

Peptide Injections: When It Crosses Into a Felony (Doctors Explain) ft. Dr. Flora Waples

What if the injectable everyone's raving about is not what's actually in the bottle?

Full show notes

From BPC-157 for healing, growth hormone secretagogues for muscle, bone, sleep, and skin, to tanning peptides that can turn pale skin dark in a matter of weeks.

Host Dr. Kate Dee sits down with Dr. Flora Waples, a Colorado physician who's studied peptides more closely than almost anyone willing to talk about them plainly. Together they walk through the most popular ones: what the science actually shows, what's still mostly theory, and which peptides Dr. Waples won't prescribe, no matter who's asking.

Your feed is full of people swearing these tiny compounds changed their lives. What most of them aren't saying is where the vial came from. A lot of people self-injecting peptides are buying them from gray-market sources, often overseas, with no reliable proof of what's actually inside.

Then it gets complicated. The FDA restricted many of these peptides in 2023, and an advisory meeting set for July 2026 could shift how compounding pharmacies handle some of them.

You'll find out what's actually legal to buy, when injecting someone crosses into practicing medicine without a license, and why one person in Seattle nearly died after ordering what they thought was Ozempic

If you've thought about trying peptides, or you treat patients who have, this episode hands you the questions to ask before anyone picks up a needle. Because the real question isn't just whether a peptide works, but whether you can prove what's in the bottle. Press play and find out which peptides might be worth it, and which ones could put you in the hospital.

Connect with Dr. Flora Waples: https://www.restormedicalspa.com/

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July 1, 2026  ·  12:59

Why I Stopped Offering Kybella | Fat Dissolving Injections

Why would a doctor stop offering a treatment that is FDA approved, supported by studies, and still available at some med spas?

Full show notes

Host Dr. Kate Dee starts a new series on treatments she says no to, beginning with Kybella, the fat-dissolving injectable used for under-chin fat. She explains why she offered it early on, how deoxycholic acid is supposed to break down fat cells, and why her real-world experience changed her mind.

You’ll learn:

As the founder and medical director of GLOW Medi Spa, Dr. Dee has spent years watching aesthetic treatments rise in popularity, only to become less impressive once real patients, real costs, and real outcomes are involved.

Her standard is simple: if she would not recommend it for herself, she will not casually recommend it to her patients. And you have to hear the patient story she shares because it became the moment that made her stop offering Kybella for good.

Press play to learn why “approved” does not always mean “worth it,” and what questions to ask before you spend money on any aesthetic treatment.

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June 24, 2026  ·  42:51

Complaints, Hidden Cameras & Suspended Licenses: Inside Med Spa Investigations ft. Shonra Weiss, NP-C

What does it actually take for the nursing board to show up at your med spa with a hidden camera and a badge?

Full show notes

Dr. Kate Dee sits down with Shonra Weiss, a nurse practitioner, med spa co-owner, and consultant who reviews cases for the California nursing board. Shonra has seen what these investigations look like from the inside: the complaints, the undercover visits, the social media evidence, the patient records, and the mistakes that can put a license at risk.

This episode reveals how nursing board investigations actually start, what triggers them, what investigators look for, and why doing the right thing for your patient may not be enough if the rest of your practice does not hold up.

You’ll hear about providers practicing on suspended licenses, nurses treating patients without proper good faith exams, standing orders being misunderstood, and medical directors who are too remote to manage the complications happening under their license.

Shonra also shares the cases that are harder to forget: patients dismissed when they reported serious symptoms, one case involving permanent injury, and another involving scarring that may never fully heal.

But here’s the part that matters most: some of these providers thought they were doing everything right.

If you work in a med spa, own one, or book aesthetic treatments, you need to understand what is happening behind the scenes right now.

Press play and learn what the nursing board already knows, and what it could mean for the med spa you're trusting with your face.

Connect with guest: https://www.aestheramedspa.com/

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June 17, 2026  ·  15:12

IV Therapy: Expensive Urine or Legitimate Medicine? (Doctor Explains)

Is sticking a needle in your arm better medicine than drinking a glass of water?

Full show notes

IV hydration therapy has become a multibillion-dollar wellness business, built on the promise that a drip can do what your body supposedly cannot. Host Dr. Kate Dee breaks down what actually happens when your body absorbs water, vitamins, and electrolytes, and why many healthy people paying for IV drips may be buying very expensive urine.

She explains when IVs are legitimate medicine, who is legally allowed to prescribe them, and why a nurse handing you a menu and taking your order may be a bigger red flag than most patients realize.

She also covers what can happen when IV therapy goes wrong. Not in theory. In real cases. Patients have died after walking into wellness clinics for elective IV treatments, including cases involving improperly handled electrolyte formulas and IV ingredients that never belonged in a vein.

The growth of IV bars did not happen because the science suddenly got stronger. It happened because the margins are high, the demand is real, and oversight has not kept up.

Stay until the end, because Dr. Kate Dee explains what a legal, ethical IV service should actually look like, what questions to ask before anyone touches your vein, and when the safer choice is simply water, electrolytes, and time.

Press play and learn why a billion-dollar industry might be built on something your body never needed.

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June 10, 2026  ·  45:48

Florida's Plastic Surgery Problem (Who’s Actually in Charge?) ft. Dr. Alexander Zuriarrain

If something goes wrong on the operating table, do you know who's actually responsible?

Full show notes

Dr. Kate Dee sits down with Dr. Alexander Zuriarrain, a Miami-based plastic surgeon with four board certifications and years of experience as a medical-legal expert witness.

He has reviewed the cases where cosmetic procedures went very, very wrong. And he is here to explain what patients rarely see before they book.

You’ll learn why “awake facelifts” are one of the most marketed and misunderstood procedures in cosmetic surgery right now, and why sedation, local anesthesia, and poor patient selection can create serious risks. Dr. Zuriarrain breaks down what separates a bad outcome from real malpractice, and why many patients don’t understand the difference until they are dealing with a result they never expected.

He also shares the red flags patients almost never think to check, including one resource hiding in plain sight that can reveal how a clinic actually operates behind the scenes.

If you’re considering any cosmetic procedure, or you just want to understand how these clinics really work behind the scenes, this episode will change how you research any practice going forward.

Stay until the end as Dr. Zuriarrain shares one detail about deceased medical directors that most patients would never think to check.

Press play and learn exactly what to ask before you let anyone touch your face.

Connect with Dr. Z: https://www.zuriplasticsurgery.com/

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June 3, 2026  ·  15:34

Retatrutide Weight Loss Truth (Doctor Explains)

Would you take a weight loss drug that outperforms bariatric surgery if your doctor told you it wasn't legal yet?

Full show notes

There's a new drug making waves in weight loss medicine. The clinical trial results are unlike anything we've seen before. And some clinics are already injecting it into patients, even though it's not legal to do so.

It's called Retatrutide.

And Dr. Kate Dee wants you to know exactly what it is before someone tries to sell it to you. She breaks down how this triple-receptor drug works, why the weight loss numbers out of phase three trials are turning heads, and what the side effects actually look like when you read the data carefully.

Dr. Dee also explains the legal landscape in plain terms because right now, there is no legal pathway to get this drug outside of a clinical trial. Not through a compounding pharmacy, not through a wellness clinic, not anywhere.

She's here to make sure you're not the person who finds that out the hard way.

If you're already on a GLP-1 medication and wondering what's next, this episode gives you a clear framework for thinking through that question. If you've seen retatrutide mentioned online and you're curious, this is the episode that separates the science from the hype.

Press play as Dr. Dee shares her own personal take and it might surprise you.

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May 27, 2026  ·  43:31

This Skin Tightening Device SKIPPED Human Trials (It's in Med Spas) ft. Dr. Corinne Erickson - Dermatologist

What if the skin-tightening device your med spa is pushing on you has zero human safety data?

Full show notes

Not outdated data. Not limited data. Zero.

That's the reality behind one of the most hyped devices in aesthetics right now, and Dr. Kate Dee isn't staying quiet about it.

Dr. Kate Dee sits down with Dr. Corrine Erickson, a board-certified dermatologist and owner of Georgia Skin Specialists in Atlanta, to cut through the noise on non-invasive skin tightening. These treatments are everywhere right now, and so is the misinformation.

They name the devices that had good ideas but poor execution, including some that are still being sold today. Then they break down what the newer generation of RF technology actually does, how it works, and why the science behind it matters more than the marketing.

Dr. Erickson chose her device based on published clinical data, head-to-head studies, and real-world outcomes. Not Instagram hype. Actual evidence. Meanwhile, Dr. Dee raises serious questions about one device flying off shelves right now whose only published safety study was done on two-to-three-month-old pigs.

That device is being sold in med spas across the country right now. Maybe even yours.

If you've ever considered a skin-tightening treatment, or you've already had one and wondered whether it was the right call, this episode gives you the questions you should have been asking before you walked in the door.

Press play and learn exactly what to ask before you book any skin-tightening treatment you've seen all over social media.

Connect with Dr. Connie Erickson: https://georgiaskinspecialists.com/providers/corinne-erickson/

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May 20, 2026  ·  18:45

100 Patients Injected With Illegal GLP-1 at This Med Spa

The Safer Way to Choose a Medspa → MedspaBoard.com

Full show notes

What if the "FDA-approved" weight loss shot you just got… wasn't?

The headlines reduced this story to a clinic shutdown and a few thousand dollars in penalties. But Dr. Kate Dee exposes what may have actually happened behind the scenes: roughly 100 patients allegedly injected with research-grade peptides never intended for human use.

This could be happening right now in your state, possibly at a clinic down the street, and most patients would never know until something goes wrong.

Dr. Kate Dee breaks down the real Alabama case that should have made national headlines. According to the complaint, a med spa allegedly injected patients with substances labeled “not suitable for direct human consumption” while patients believed they were receiving FDA approved GLP-1 medications.

She explains how a gray-market peptide supplier, questionable oversight, and loopholes inside the med spa industry created the perfect storm for patient harm and why the consequences handed down barely reflect how serious this case really was.

Press play before ordering your next weight loss shot.

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May 13, 2026  ·  34:27

Is Your Surgeon FAKING Deep Plane Facelift? (Beverly Hills Plastic Surgeon Explains) - Dr. William Harris

Get Your Medspa Certified → https://medspaboard.com/ What if the facelift you're planning could leave you looking worse than before you started?

Full show notes

Facelifts are more popular than ever, but not all of them are created equal. The deep plane technique is being marketed heavily right now and it sounds impressive on paper. Book the wrong surgeon and you could end up with a pulled, windswept result that requires another surgery to fix.

Dr. Kate Dee sits down with Beverly Hills facial plastic surgeon Dr. William Harris to talk about what's actually happening in operating rooms right now. Dr. Harris specializes in extended deep plane facelifts and he's also the surgeon people call when someone else's work goes wrong.

They cover the exact questions you need to ask before you sit in a consultation chair, why the words "cosmetic surgeon" on a door sign should make you stop and think, and what actually separates a result that ages beautifully from one that falls apart in three years.

Press play and learn what your surgeon might not be telling you.

Connect with Dr. Harris: https://www.harrisfacialplastics.com/

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May 6, 2026  ·  12:33

IV Therapy Death Leads to Murder Charges (Justice for Jennifer Cleveland)

What if the person who gave you your last IV drip had zero medical training?

Full show notes

It happened and Jennifer Cleveland never made it home.

This week, the story that shook the entire med spa industry just got a major update and it's one you cannot afford to ignore.

Dr. Kate Dee and med spa attorney Courtney Walker are exposing the dirty secret hiding inside thousands of "medical" spas right now. Unlicensed operators running the show. Doctors are renting out their licenses with ZERO oversight and people are dying.

This isn't rare.

You'll find out exactly what was in that IV, who administered it, and where the supervising doctor actually was when Jennifer died. You'll never walk into a wellness center the same way again.

Press play and learn how the law is finally catching up and you need to hear this before your next appointment.

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April 29, 2026  ·  46:12

The FDA Opened the Door on Peptides… Here’s the Risk | ft. Dr. Furhan Qureshi

What if the injection your provider is offering you has never been tested on a single human being?

Full show notes

You are hearing a lot of people claiming they've healed their chronic pain, boosted their performance, and turned back the clock.

But some of the most popular peptides on the market today are technically illegal to prescribe, sourced from unknown suppliers, and have zero completed human trials behind them.

The FDA just made a major announcement that could change all of that. And you need to know what it means before anyone injects anything into your body.

In this episode, Dr. Kate Dee sits down with Dr. Furhan Qureshi, an internal medicine physician and med spa owner practicing outside Washington, D.C. Together, they break down what peptides actually are, why the hype exploded after the GLP-1 boom, and why the most popular one right now is still banned by professional sports anti-doping agencies.

You'll find out which peptide Dr. Dee says no one should be using. You'll learn what the FDA's new policy actually changes, and what it doesn't. And you'll hear two physicians get honest about why even they aren't rushing to offer these treatments yet.

Press play and learn what the FDA's big announcement actually means for your safety.

Should You Be Injecting Yourself with Peptides? Read Here

Connect with guest: https://www.instagram.com/furhanqureshimd/

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April 22, 2026  ·  14:22

FDA Warning Letter Shut Down Med Spas Overnight (What They Found)

How do you REALLY know if that's Botox?

Full show notes

Hear what the FDA uncovered when they investigated Pure Indulgence Aesthetics, a med spa with a clean website, a doctor's name on the homepage, and a Groupon running for less than $8 a unit.

Patients were lining up and reviews were good, but when investigators checked the dumpster, the unmarked vials were a substance that had to be sent to a lab just to identify.

Dr. Kate Dee was sitting in a room in Las Vegas when an FDA official described details of this case that have not been reported anywhere. She's bringing every bit of it to you, because what happened at Pure Indulgence Aesthetics in Texas and California is not an isolated incident.

IT'S A WARNING.

The medical director's name was on the website. The nurse managing the supply chain had a federal guilty plea in her past for a crime you will be shocked to find out.

Here's what should scare you, the patients who kept coming back thought it was working.

If you've ever booked a Botox appointment, passed along a recommendation, or assumed a licensed-looking clinic is a safe one, you need to hear what Dr. Dee found out before your next treatment, and before someone you love books one too.

Press play and learn how to find out what was really in that syringe.

WARNING LETTER: https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/warning-letters/pure-indulgence-aesthetics-723267-04012026

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April 15, 2026  ·  42:27

Hormone Therapy Boom: Who’s Putting You at Risk? (Find Out) | ft. OB-GYN - Dr. Radhika Sharma

Does more access to hormone therapy mean better care?

Full show notes

Hormone therapy is everywhere right now. Med spas are offering it, telehealth platforms are advertising it during the Super Bowl, and plenty of providers are happy to prescribe whatever you ask for.

In this episode, Dr. Kate Dee sits down with Dr. Radhika Sharma, an obstetrician-gynecologist from Wisconsin and co-host of the podcast The Double Scrub. Together, they break down what's really happening inside the hormone therapy boom and why some of the most popular options could actually be doing you real harm.

They dig into why under the skin pellets are a red flag, what telehealth platforms aren't telling you about cost and follow-up care, and why the symptoms most women chalk up to menopause are being completely misread.

You'll also find out why your OB-GYN may have barely had any menopause training in medical school, and what that means for the care you've been receiving.

Press play and learn what your provider should already be telling you.

Connect with guest: https://www.instagram.com/drradhikaobgyn/

The Double Scrub Podcast: Listen Here

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April 8, 2026  ·  12:41

DOCTOR REACTS: Did Nicole Kidman's Fillers Go TOO Far? [Scarpetta]

Have you ever watched a celebrity on screen and thought, "Something looks off but I can't figure out what"?

Full show notes

Dr. Kate Dee and her colleague Margaret Sherman were watching the hit Netflix series Scarpetta when they noticed something about Nicole Kidman's face that stopped them cold.

What started as a casual observation turned into a conversation that every woman considering injectables needs to hear. Nicole Kidman and Jamie Lee Curtis play sisters on screen. One is nine years older, but one looks it, but the other doesn't, and the reason why is more complicated than you'd expect.

Dr. Dee has been studying both faces and what she found reveals something the med spa industry rarely talks about out loud.

And there's also a specific moment in the show where the contrast between these two women becomes impossible to ignore, and once Dr. Dee points it out, you won't be able to unsee it.

If you've ever sat in a med spa chair and wondered how much is too much, this episode answers that question in a way nothing else has.

Press play and learn what procedures Dr. Kate Dee has done on her own face,.

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April 1, 2026  ·  32:34

The New Ozempic Pill — Is It Actually Ready for Primetime? | Dr. Randi Lindstrom

A daily Ozempic pill instead of a weekly injection, BUT what happens when you stop?

Full show notes

The new oral GLP-1 just launched, and the early numbers on who's actually taking it tell a story. There are real reasons your doctor might steer you away from it, and they go deeper than needle avoidance.

Dr. Kate Dee sits down with GLP-1 prescriber Dr. Randi Lindstrom to get into the details nobody is spelling out clearly. And then there's the question keeping a lot of women up at night: what actually happens when you stop?

A brand new study just gave us the closest thing to a real answer, and the results are more complicated than anyone wants to admit.

There's also a cancer connection buried in the latest research that deserves far more attention than it's getting. Thirteen types. And it cuts in a direction most people aren't expecting.

Plus, if you're a woman in your 30s or 40s who assumed pregnancy wasn't on the table, this episode has information that could genuinely change your plans. The fertility piece alone is worth the listen.

Press play and learn what you actually need to know before your next dose, your next prescription, or your next decision.

Visit Dr. Randi Lindstrom: https://www.instagram.com/glow.medispa.kirkland/

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March 25, 2026  ·  12:13

Ozempic Face: Why It Happens and How to Fix It [Doctor Explains]

You finally lost the weight. So why do you look older?

Full show notes

The emotional side of dramatic weight loss is real and complicated. You spent months, maybe years, working toward a goal. You hit it and then you're blindsided by something you never anticipated.

Dr. Kate Dee hears this every single week in her consultation room. Patients who worked incredibly hard, who did everything right, and now they're sitting across from her trying to figure out why their face doesn't match how they feel inside. Some of them have cried and not because they're vain.

She pulls no punches here and breaks down the real clinical options, the ones that actually restore what rapid weight loss takes away. Dr. Dee also names the treatments that sound good on Instagram but deliver nothing, and there are more of those than you'd think.

If you're on a GLP-1 right now, thinking about starting one, or you've already noticed changes in your face, this episode is for you.

Press play and learn why getting the timing wrong and you could flush thousands of dollars down the drain.

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March 18, 2026  ·  38:45

She Got 3rd° Burns: How Illegal Devices End Up in Legit Spas

What if the person who hurt you was someone you trusted completely?

Full show notes

Dr. Kate Dee sits down with nurse practitioner Sarah Kabalka, a 13-year veteran of medical aesthetics who knew the questions to ask, knew the red flags to look for, and still walked out of a treatment room with injuries she'll carry for the rest of her life.

Trust overrode instinct. And what happened next is something far too many patients never see coming.

Sarah's story reveals how a non-FDA approved device ends up in a spa that looks completely legitimate, why a medical director on paper doesn't mean anyone is actually protecting you, and what it means when a provider lists someone as their medical director without that person's knowledge.

If you get Botox regularly, you're curious about RF microneedling, or you just want to walk into any med spa and ask smarter questions, this conversation will change how you see trust and safety in this industry.

Stay until the end because the most shocking part of Sarah's story is something that could affect you the next time you book any aesthetic treatment.

Press play and learn what no one in this industry wants you to know.

Connect with Sarah: https://www.skinaddictionhealth.com/

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March 11, 2026  ·  12:04

He Paid Thousands for a Stem Cell Treatment. It Turned Fatal.

What if the clinic promising to save your life was the most dangerous place you could walk into?

Full show notes

A Colorado man flew to Seattle for a stem cell treatment he believed would save him. A King County jury just awarded his family $24 million.

Host Dr. Kate Dee breaks down what happened inside that clinic and why this case is bigger than one family's tragedy.

Stem cells are real. The "cures" being sold to desperate patients? That's a very different story. Dr. Kate Dee separates the legitimate science from the dangerous fiction, and what she found will make you think twice before booking anything.

If you or someone you love has ever considered stem cell therapy, this episode could be the most important thing you hear all year.

Press play to understand what stem cells actually are and what the clinics selling them are not telling you.

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March 4, 2026  ·  40:55

Provider Arrests | What’s Driving the Letybo ‘Korean Botox’ Trend – Dr. Judith Borger, Aesthetic Physician

What if the person about to inject your face isn't licensed to touch you at all?

Full show notes

It's not a worst-case scenario anymore. It's a pattern. Providers are getting arrested across the country, and the patients sitting in those chairs had no idea. The websites looked polished. The staff seemed professional. Nothing felt off until it was.

Dr. Kate Dee sits down with Dr. Judith Borger, a physician with over a decade in aesthetic medicine, to break down exactly what's driving this wave of arrests.

They also cut through the hype on the K-beauty version of Botox - Letybo. The Korean neurotoxin everyone's suddenly talking about. Is it worth it? Dr. Kate Dee goes straight to the science, and the answer might surprise you.

Here's something most patients don't know. The toxin your provider chooses can be influenced by more than just clinical preference.. You'll hear exactly what quietly influences what gets injected into your face.

Press play and learn what every patient deserves to know before their next appointment.

Connect with Dr. Judith Borger: https://www.conciergemedicalarts.com/

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February 25, 2026  ·  10:30

hims Got Sued! Everyone on GLP-1 Should Pay Attention

What happens when a billion-dollar company decides it's done playing nice with the telehealth giants undercutting its patents?

Full show notes

Novo Nordisk just dropped a lawsuit against Hims & Hers, and the ripple effects could reshape how millions of people access GLP-1 medications like Ozempic and Wegovy.

Dr. Kate Dee breaks down what's really behind this legal fight, why the timing matters, and what it means for anyone who's been relying on compounded versions of these drugs to manage their weight and health.

If you've ever used a compounded semaglutide prescription, or you're thinking about it, this episode is going to answer questions you didn't even know to ask.

Dr. Dee cuts through the legal noise and explains the compounding loophole that let telehealth companies thrive during the shortage years, why that window is closing fast, and what the difference is between a compounded drug that works and one that's little more than a very expensive placebo.

By the end, you'll understand why Dr. Dee sees Tirzepatide as the stronger option, what these patents actually protect, and how to think about your own GLP-1 access as this lawsuit plays out in court.

Press play and learn what this lawsuit could mean for your health decisions.

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February 19, 2026  ·  45:55

She Paid $5,000 for Filler Injections But What Was Inside the Syringe Will Horrify You with Bea Amma

What if the person injecting you had no license, no training, and no idea what was actually in the syringe?

Full show notes

Dr. Kate Dee breaks down a disturbing Florida arrest that's making headlines. A woman was running a full cosmetic clinic out of her home, charging patients thousands of dollars for injections she claimed were professional-grade treatments.

What doctors found inside the victim's body tells a very different story. And when the suspect walked out of her bail hearing without expressing any remorse. Dr. Kate Dee brought in the one guest who could speak to this story better than anyone else.

Past guest Bea Amma lived through something almost identical back in 2021. Now, five years later, she's back with a raw and honest update on where her recovery actually stands. From three months in the hospital to years of daily IV antibiotics to surgeries she wasn't sure she'd survive, Bea's story puts a human face on what these cases really cost. This isn't just a news story. For Bea, it never stopped being personal.

Together they dig into why these illegal clinics keep operating, why victims rarely see justice, and why even a high-profile arrest doesn't guarantee the problem gets solved. If you've ever booked a cosmetic treatment without asking the right questions, this conversation will change how you think about that decision.

Press play and learn what Bea knows now that she wishes she had known before her very first appointment.

Connect with guest: https://www.instagram.com/beatriz.amma/?hl=en

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February 11, 2026  ·  44:08

The One Thing Missing From Every Med Spa Gut Health Program with Dr. Tina Storage, Board-Certified Gastroenterologist

Med spas are now selling gut healing programs for hundreds of dollars a month. But who's actually qualified to tell you what's wrong with your gut?

Full show notes

Gut health is everywhere right now. Walk into almost any wellness clinic and you'll find supplement stacks, IV drips, and probiotic blends all promising to fix your digestion. But most of them aren't backed by a gastroenterologist.

Dr. Kate Dee sits down with Dr. Tina Storage, a board-certified gastroenterologist who treats real digestive disorders every day, to find out what gut health actually looks like when the science drives the conversation.

Dr. Storage explains why so many people are struggling with bloating, constipation, brain fog, and digestive issues, and why the answer is probably simpler and cheaper than what any wellness clinic is selling you.

If you've ever spent money on a gut health protocol and wondered whether it was worth it, this episode gives you the framework to know the difference between real care and expensive guesswork. You'll walk away knowing exactly what questions to ask before you hand over your credit card.

Dr. Kate Dee closes the episode with four specific questions you need to ask any med spa or wellness clinic before starting a gut health program. Don't skip the end. Those four questions could save you hundreds of dollars and a lot of frustration.

Listen and Learn what a board-certified GI doctor actually recommends for a healthier gut, and how to spot a wellness program that's more about profit than your health.

Connect with Dr. Storage: https://www.instagram.com/drtinastorage/

FREE Health Tips From 2 of the Best Gut Health Doctors in America https://doctorversus.com/

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February 4, 2026  ·  20:00

Med Spa Apocalypse Happening Right Now Forcing Hundreds to Close in This State

What happens when an emergency order becomes the foundation of an entire business and then suddenly disappears?

Full show notes

New Jersey has reverted to pre-COVID regulations, ending temporary pandemic-era rules that allowed nurse practitioners to operate independently. As a result, many med spas opened over the last six years are now scrambling to secure collaborating physicians or shut down within 30 days.

Dr. Kate Dee breaks down what happened, why it matters, and what it means if you're getting treatments in states with similar regulations.

This issue reaches far beyond New Jersey. Dr. Dee connects the dots between emergency orders, compounded GLP-1 medications, and the broader question of nurse practitioner independence. She explains the training gaps, regulatory turf wars, and real-world risks that emerge when businesses cut costs by replacing physicians with mid-level providers in high-risk settings.

Whether you're a patient trying to confirm your injector is operating legally or a provider navigating state-by-state regulatory chaos, this episode explains how to verify licenses, recognize red flags, and understand what “scope of practice” actually means in today’s shifting landscape.

Press play and learn how to protect yourself in a system that's constantly shifting.

Clip from: https://www.instagram.com/ivsbytheseas/

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January 28, 2026  ·  19:12

Complete Guide to RF Microneedling: Doctor Films Entire Treatment (Unfiltered)

What if looking like a swollen pumpkin for three days meant better skin for the next year?

Full show notes

Host Dr. Kate Dee takes you behind the scenes of her own RF microneedling and laser resurfacing treatment, showing you exactly what happens from the moment numbing cream goes on to the final recovery stages.

No filters, no editing out the swelling, just the real experience. You'll see how powerful topical anesthetics work, what the procedure actually feels like, and why some medspas can't legally offer the same level of numbing that makes this treatment tolerable.

Dr. Dee breaks down the difference between insulated and uninsulated needles, explains why not all RF microneedling devices are created equal, and shares the exact protocols that prevent complications like fat loss and scarring.

You’ll understand what questions to ask before booking RF microneedling anywhere. You'll learn how to spot red flags in pricing, why proper licensing matters for this procedure, and what realistic results look like over time. Dr. Dee also covers maintenance schedules, cost ranges in major cities, and why some patients end up with hyperpigmentation while others don't.

Stay until the end to hear the three essential questions you must ask any provider before letting them perform this treatment on your skin. Dr. Dee explains exactly what answers should make you walk away and what responses signal you've found a safe, qualified practice.

Press play and learn how to make smarter, safer decisions about RF microneedling.

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January 21, 2026  ·  22:32

Inside New York's Med Spa Crackdown: Life-Threatening Infections, Unsanitary Clinics and Illegal Injectors

What happens when state investigators walk into over 200 med spas?

Full show notes

Host Dr. Kate Dee walks you through the shocking results of New York's investigation, where inspectors found cosmetologists injecting mystery substances and estheticians causing dangerous MRSA infections.

Now dermatology groups and lawmakers want to crack down hard, but their solution might accidentally target the good med spas along with the bad ones.

Illegal practices aren't just happening in sketchy salons. Dr. Dee explains why even some board-certified doctors end up on the wrong side of the law, what makes a nurse-owned med spa legally risky, and how to spot the difference between a real medical practice and a business that's just pretending to be one.

If you're trying to find a safe place for your treatments or you own a med spa and want to stay ahead of what's coming, this episode gives you what you need to know. You'll walk away understanding how the best med spas can not only survive this but actually thrive.

Press play and Learn how to protect yourself by knowing the real difference between licensed medical care and unlicensed aesthetic services.

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January 14, 2026  ·  13:48

SNL's Chloe Fineman's Med Spa DISASTER Photos Are Actually Genius - IPL, Fraxel, Fillers and More

What do celebrities actually look like right after their aesthetic treatments, and what can we learn from seeing the real recovery process?

Full show notes

SNL star Chloe Fineman recently shared something most celebrities never would: honest photos of herself immediately after various med spa procedures, complete with swelling, redness, and those tell-tale recovery signs.

Dr. Kate Dee breaks down exactly what treatments Chloe likely had done based on these revealing images and explains what each recovery process tells us about the procedure itself. From overfilled lips to laser-induced pigmentation patterns, you'll learn to recognize what's normal downtime versus what's a red flag.

Helping you understand what recovery should actually look like helps you know what to expect when you book your own treatments. Dr. Dee walks through the difference between aggressive procedures that require weeks of hiding at home versus gentler options with minimal downtime.

You'll also learn why certain treatments carry more risk depending on your skin tone and why filler complications remain the most dangerous issue in aesthetic medicine.

By the end, you'll understand how to choose treatments that fit your lifestyle, what questions to ask about recovery time, and how to spot when something's gone wrong.

Listen and learn why Chloe's honesty about the "ugly" phase of aesthetic treatments actually does more for patient safety than a thousand filtered Instagram posts ever could.

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January 7, 2026  ·  47:18

How AI Is Quietly Deciding Which Med Spas Win and Lose with Aesthetics Marketing Expert Michael Antosy

What if finding a trustworthy med spa was as simple as asking ChatGPT or Gemini?

Full show notes

AI search is flipping the entire medical aesthetics industry upside down, and what it's exposing might make you rethink where you're getting your next treatment. The clinics showing up first aren't always the safest ones.

Host Dr. Kate Dee sits down with Michael Antosy, a marketing expert with 15 years in aesthetics, to spill the secrets the industry doesn't want you to know.

They dive straight into the messy stuff: champagne-fueled Botox parties that violate consent laws, fake board certifications plastered on websites, and HIPAA violations happening in plain sight on Google reviews. Chapters: 00:04:47 - Did Google Just Rewrite the Rules for Med Spa Search? 00:09:36 - Why Doctor-Written Content Wins in AI Search 00:11:37 - What Patients Are Really Asking AI Before Booking 00:15:55 - How AI Decides Who Is Trustworthy 00:17:21 - Why Provider Bios Matter More Than Ever 00:20:14 - Reviews as Trust Signals 00:24:44 - HIPAA Review Mistakes That Can Get You in Trouble 00:29:14 - The Legal Risks of Botox Parties 00:34:54 - ADA Compliance 00:39:28 - How AI Could Make Med Spas Safer for Patients

You'll discover why some clinics dominate AI searches while legitimate doctors get buried. Michael breaks down Google's "helpful content update" and the EEAT framework in words you'll actually understand, so you can spot the difference between a licensed professional and someone running an illegal operation.

If you've ever felt uneasy about a med spa that looked perfect online but something felt wrong, they help you connect the dots. By the end, you'll know exactly what to ask AI to find a safe, qualified provider near you.

Listen and Learn how to use AI search as your safety net and avoid the med spas putting profit over patients.

Connect with guest: @michael.myadvice

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2025 (34 episodes)
December 31, 2025  ·  11:31

Why New York City Just Shut Down Multiple Med Spas and the Violations Are Worse Than You Think

What if the med spa you trust doesn't have a license displayed, carries no insurance, or relies on unlicensed staff?

Full show notes

A new NYC report investigated 15 med spas and found violations in every single one. Dr. Kate Dee breaks down the findings that should concern anyone considering aesthetic treatments.

Dr. Dee walks through the "Moving the Needle" report that uncovered illegal practices across New York City's med spa landscape. From expired licenses to fake devices and nurses injecting without oversight, she explains what each violation means for your safety.

You'll learn which red flags showed up most often and why some of these problems could leave you with no legal recourse if something goes wrong. This helps you understand the difference between a legitimate medical facility and a place that's just taking your money.

Whether you're booking Botox, considering a laser treatment, or exploring any aesthetic procedure, Dr. Dee gives you the information you need before you walk through the door.

Plus, she shares why this report matters beyond New York and what it reveals about the industry nationwide.

Listen and learn how to protect yourself before your next appointment.

Read the “Moving the Needle,” to learn how some of these businesses are illegally blurring the line between spa and medical facility

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December 24, 2025  ·  49:57

Med Spa Sales Rep Explains Pressure To Sell To Any Clinics Who Will Buy, Even When Patients Could Get Hurt

What has a med spa sales rep with 20 years of experience seen that keeps them up at night?

Full show notes

Host Dr. Kate Dee sits down with Rachel Phillips who’s been selling to med spas for over 20 years, and she's seen things that will shock you!

From doctors panic-calling her to train unqualified staff because their licensed person just quit to practices going out of business before patients can finish the treatment packages paid in full upfront.

Rachel spills everything about what really goes on behind closed doors in an industry that has exploded in growth over the past decade, now numbering in the tens of thousands nationwide.

As a sales rep, Rachel has had to choose between making the sale and doing what's right, and not every rep makes the same choice. She breaks down why some practices spend money on treatments that will never work for their patients, and how aggressive marketing creates the complications that end up in lawsuits.

For medspa owners, Rachel shares truths about buying equipment you can't afford and marketing to deal shoppers when you're trying to build a luxury practice. Learn the real reason why so many med spas fail, why patients get hurt, and what needs to change.

Listen and learn what could save you thousands of dollars or prevent a serious medical complication.

Connect with guest: https://www.linkedin.com/in/rachelmichaels/

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December 17, 2025  ·  42:25

TikTok Skincare Disasters: What's Safe & What Lands You in the ER with Dermatologist Dr. Angela Casey

What if that viral beauty hack you saw on TikTok is actually damaging your face?

Full show notes

Dr. Kate Dee sits down with board-certified dermatologist Dr. Angela Casey to expose the truth about at-home aesthetic treatments that are flooding the market. They're seeing something alarming in their clinics, and it's getting worse.

Innocent-looking products you can buy online right now are causing damage that takes months or even years to fix. Some of these disasters start in the kitchen. Others arrive in packages from overseas with instructions you can't even read.

Think you can spot the difference between a harmless beauty trend and a trip to the ER? Dr. Casey shares what happens when patients try to recreate professional procedures at home, and the results are not pretty.

For the best anti-aging essentials: Download my FREE Gift Guide

Stay until the end as they reveal the two at-home devices that absolutely terrify them as medical professionals.

Listen and learn what's hiding in plain sight before you become the next cautionary tale.

Connect with guest: Dr. Angela Casey

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December 10, 2025  ·  22:20

Medical Directors: The Dangerous MedSpa Legal Loophole Putting You at Risk

If Your Med Spa's Medical Director Is Never There, Who Steps In When Something Goes Wrong?

Full show notes

Dr. Kate Dee heard a shocking rumor: one physician was supposedly overseeing 55 med spas in California. It sounded impossible, so she decided to investigate. What she discovered will change how you think about that professional headshot on your med spa's website.

She uncovered two real physicians who are listed as medical directors for 12 to 14 locations each, scattered across California and beyond. But here's the catch: they're full-time doctors in completely different fields, living hundreds of miles away from most of the spas they supposedly oversee.

Key Takeaways:

Dr. Kate Dee tracked down these absentee medical directors and what their involvement actually looks like. She explains the difference between a medical director who's present and engaged versus one who's essentially renting out their license.

You'll learn why distance matters when it comes to supervision, emergency response, and making sure you're getting a proper medical evaluation before any treatment.

Dr. Kate Dee breaks down what to look for on a med spa's website, what questions to ask about their medical director, and why "available" doesn't always mean "there." She also reveals how these arrangements can create legal gray areas that put patients at risk, from missing good faith exams to questionable malpractice coverage.

Stay until the end to hear about Dr. Kate Dee's new Med Spa Board certification and how it's designed to solve exactly this problem. You'll walk away knowing how to spot red flags and protect yourself before you book your next appointment.

Listen and Learn how to verify your med spa has real medical oversight, not just a name on a website.

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December 3, 2025  ·  27:33

This DOUBLES Your Skin Cancer Risk Says Board-Certified Dermatologist, Dr. Angela Casey

Is that strange little bump on your forehead harmless, or is it quietly spreading beneath the surface while you wait?

Full show notes

Dr. Kate Dee sits down with Dr. Angela Casey, a board-certified dermatologist and fellowship-trained Mohs surgeon, to talk about the one cancer that outnumbers all others combined.

They break down who's really at risk, what warning signs you might be ignoring, and why catching things early isn't just about avoiding a scar, it's about protecting your actual face.

Dr. Casey treats skin cancers every single day and shares what she wishes more people knew before that "little bump" turns into a major problem.

You'll learn the simple monthly habit that could save you from a serious diagnosis, how to spot the difference between harmless and harmful, and why some people end up needing reconstructive surgery when early detection could have meant a tiny office procedure.

They also explain why your med spa can't help you with this and where you should actually go instead.

If you've been putting off getting something checked, or you just want to know how to protect yourself and the people you care about, this episode gives you a clear, no-fear roadmap. Dr. Casey's approach is reassuring, practical, and based on nearly 20 years of getting patients the best possible outcomes.

Listen and learn how to catch skin cancer early before it catches you.

Connect with Dr. Angela Casey: https://www.instagram.com/angelacaseymd/?hl=en

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November 26, 2025  ·  14:51

Nurse Charged With 3 Felonies for Injecting Patients Under Unlicensed Physician Supervision in Sting Operation

What happens when a board-certified dermatologist opens a med spa in a state where he has no license to practice?

Full show notes

A respected Seattle dermatologist who literally teaches other doctors how to inject Botox just got caught in a federal sting operation. An RN was led away in handcuffs and charged with three felonies.

The doctor?

He's now facing potential wire fraud charges and up to 20 years in prison. Dr. Kate Dee unpacks this jaw-dropping case that's unfolding right now.

The doctor interviewed an RN who turned down the job because she realized he had no Arizona license. Instead of fixing the problem, he just found someone else willing to do it anyway.

Dr. Kate Dee walks through the bizarre logistics of how you'd even pull this off. How do you get Botox shipped without a state license? How do you run a med spa when you can't legally be there?

And why would an established, well-respected physician risk everything for this?

This isn't just industry gossip. Your neighborhood med spa could be operating the same way, and you'd never know it. Dr. Kate Dee gives you the insider knowledge to spot the red flags before you're sitting in the chair.

She'll tell you exactly which licenses to look up, what questions will make sketchy providers squirm, and why that initial consultation reveals everything you need to know about whether a place is legit or not.

Listen and learn why this arrest might finally crack open the widespread problem of unlicensed practice happening in med spas across the country.

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November 19, 2025  ·  26:56

Doctor Explains FDA Warnings on RF Microneedling Injuries, Counterfeit Botox, and Fake Doctors

Why are RF microneedling lawsuits piling up against one specific device?

Full show notes

The FDA dropped several safety alerts recently. If you're getting Botox, fillers, or skin tightening treatments, you need to hear this. Dr. Dee was doing research for a potential podcast guest when something didn't add up.

Dr. Dee has performed thousands of RF microneedling treatments over 10 years without seeing the burns, scarring, and fat loss the FDA is warning about. But when she looked into the lawsuits, she found something that explains everything.

The fake doctor story ties it all together. When you hear how easy it was for this person to fool patients, you'll understand why asking the right questions matters more than trusting a fancy website or impressive-sounding title.

Listen and learn what Dr. Dee discovered that changes how you evaluate every med spa.

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November 12, 2025  ·  34:36

Dermatologist Explains Why Your Expensive Skincare Routine Is Damaging Your Skin with Dr. Angela Casey

What if that shelf full of expensive skincare products is secretly working against you?

Full show notes

You're juggling serums, toners, acids, and retinols because influencers promised results. Dr. Kate Dee is joined by Dr. Angela Casey, board-certified dermatologist and owns a line of skincare for young women.

Dr. Casey has spent decades looking at skin under microscopes and knows what actually works versus what just sounds good in marketing. Together with Dr. Kate, she walks through how to build a simple, effective routine that protects your investment in procedures like lasers and injectables while preventing the kind of damage that ages you faster.

Dr. Kate Dee asks her what most people are making two critical mistakes that sabotage everyone when it comes to skincare. Dr. Angela Casey breaks down exactly what your skin barrier does, why it matters more than you think, and how the wrong products can turn even healthy skin into irritated, sensitive skin.

You'll learn the truth about which ingredients deserve your money, why your skin microbiome acts like a farm that needs proper care, and how to adapt your routine as you age.

Whether you're dealing with acne, trying to prevent wrinkles, or already seeing signs of sun damage, get a clear roadmap without overwhelming you with products you don't need.

Stay until the end for Dr. Casey's one message she wishes every patient understood before walking into her office.

Listen and learn how to build a skincare routine that actually protects your skin and your wallet.

Pickup Bright girl Skincare: https://brightgirl.com/DRKATE - Coupon: DRKATE20

https://www.instagram.com/brightgirlbeauty/#

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November 5, 2025  ·  9:15

Why Tipping Nurses After Your Botox Might Be Illegal with Med Spa Founder Dr. Kate Dee

When that tip screen pops up after your Botox appointment, should you feel obligated to pay?

Full show notes

This practice walks a fine line between unethical and outright illegal.

Dr. Kate Dee breaks down the troubling spread of tip culture into medical settings, where it doesn't just create awkward checkout moments, it can actually compromise your safety.

When businesses underpay nurses and rely on tips and commissions to fill the gap, it creates a flawed system. That system gives your provider a financial incentive to push treatments you don’t actually need.

Key Takeaways:

You'll learn how to spot the difference between appropriate tipping (facials and spa services) and situations where you're being asked to tip for medical procedures like lasers and injectables.

Dr. Dee explains why the American Medical Association calls it unethical, and what it means when money starts influencing medical decisions. She'll also help you understand when a tip screen might be an honest mistake versus a deliberate money grab.

Listen and learn exactly what to do the next time you're faced with that awkward screen and you'll understand why speaking up about it matters for everyone's safety.

Pick up your copy of Medspa Mayhem: https://www.drkatedee.com/

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October 29, 2025  ·  51:25

The 3 Legal Loopholes That Let Unsafe MedSpas Stay Open with Dr. Kristen Jacobs, Aesthetic Physician & Founder

What if the person injecting your Botox learned how to do it over a single weekend and there's no one checking if they're even qualified? In Texas, a woman died after receiving IV treatments from someone who had no medical license at all. No training. No oversight. No one stopped it until it was too late. Stories like this aren't rare, they're just rarely talked about. Dr. Kate Dee sits down with Dr. Dr. Kristen Jacobs, a board-certified physician who's been practicing medical aesthetics since 2008, to walk through the new MedSpa Board certification standards and why they matter for everyone. Chapters: 00:05:20 - Medical Director full responsibilities 00:16:15 - Outsourcing the Good-Faith Exam 00:26:05 - Delegation & supervision rules 00:31:50 - Legal versus illegal product sourcing 00:36:40 - Emergency protocols & complications Dr. Jacobs shares what real medical oversight looks like in her practice, from ensuring every staff member has an active license to knowing exactly which high-risk areas of the face she refuses to touch. You'll learn the questions to ask before your next appointment, what a legitimate medical director actually does, and how to spot the red flags that most people miss. Whether you're getting treatments or running a med spa, you will walk away with the tools to navigate the medspa world safely. Dr. Dee and Dr. Jacobs are more than exposing the problems, they're building the solution.

Full show notes

By the end, you'll understand why choosing a certified medspa could protect your health, your face, and your future.

Listen and learn how to protect yourself. Help us raise the standard for an entire industry.

Be the first to know about upcoming Dr. Kate Dee's appearances, live Q&As, and new investigations → https://www.drkatedee.com/

Connect with Dr. Jacobs: https://kristenjacobs.com/ Texas woman: https://arnoltcenter.org/work/the-drip-lack-of-regulation-in-growing-iv-therapy-hydration-industry-potentially-puts-patients-at-risk/

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October 22, 2025  ·  16:30

The “Celebrity Facialist” That Cost Her $30,000 and Her Skin - Victoria Nelson Exposes Hollywood Esthetician

What happens when trust in a "celebrity facialist" costs you your face?

Full show notes

Dr. Kate Dee breaks down how an esthetician with a celebrity client list got away with performing medical procedures without a medical license or oversight for years. Victoria Nelson’s account on TikTok went viral recently. She had walked into a Hollywood spa with acne and walked out with permanent scars.

The woman she trusted, Sonya Dakar, self-proclaimed "Skin Ninja" to the stars, promised flawless skin but delivered chemical burns, unauthorized medical procedures, and charged $30,000 for treatments to fix the injury she allegedly caused Victoria.

Key Takeaways:

Dr. Kate walks you through the difference between legal esthetic treatments and the medical procedures this esthetician performed without proper licensing or oversight.

Walk away with exact questions to ask before letting anyone touch your skin with a chemical peel, microneedling device, or any treatment that sounds "no big deal." You'll learn how to spot practitioners who prioritize their wallet over your safety, and why free treatments from Instagram influencer outreach often come with hidden costs.

Stay until the end to hear Dr. Kate's simple checklist for vetting any esthetician or med spa before your first appointment. Your skin is permanent, so make sure the person treating it is actually qualified to do so.

Listen and learn how to protect yourself from predatory practitioners who hide behind celebrity endorsements.

Victoria’s Tiktok: https://www.tiktok.com/@victoria.nelson?lang=en

Articles: https://people.com/woman-accuses-celebrity-facialist-permanently-scarring-her-face-11802854

https://nypost.com/2025/09/11/health/celeb-aesthetician-sonya-dakar-left-me-burned-and-scarred-says-client/

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October 17, 2025  ·  56:55

The Dark Side Of Medspas: Nightmare That Almost Destroyed Her Life with Bea Amma, Beauty & Fitness Influencer and Patient Advocate

Ever walk into a med spa and just assumed everything was legit?

Full show notes & chapters

For today's guest that trust nearly cost her her life. Dr. Kate Dee revisits a riveting conversation she had with Bea Amma to help you understand exactly what went wrong and how to protect yourself.

Bea shares her harrowing experience with an unlicensed provider who injected her with contaminated products. What started as a simple B12 shot appointment turned into a months-long nightmare involving a life-threatening infection, over 100 open wounds, and a desperate fight for survival.

You'll hear about the warning signs she missed, the medical complications that followed, and why even smart, educated people fall victim to illegal practices. Dr. Kate breaks down the medical realities behind Bea's case and explains what questions you need to ask before any aesthetic procedure, no matter how simple it seems.

You'll learn how to verify credentials, spot red flags in any med spa setting, and understand why having a real medical director on-site matters so much. Dr. Kate also shares practical steps to take if something goes wrong, because knowing your rights and options can make all the difference.

Stay until the end to hear the one step Bea wishes she'd taken sooner and what you should do immediately if you suspect you've been treated by an unlicensed provider. Your safety is worth the extra questions.

Watch, listen and learn how to choose licensed care and advocate for your own safety.

Donate to Bea’s Recovery: https://www.gofundme.com/f/beatrizs-fight-against-mycobacterium

Connect with Bea: https://www.instagram.com/beatriz.amma/?hl=en

Pick up a copy of Medspa Mayhem the Book: https://www.amazon.com/Med-Spa-Mayhem-Aesthetic-Industry/dp/1642259802/

Chapters
  • 00:07:30 - Fever, Shaking, and a Terrifying Drive Home
  • 00:18:00 - Rushed to the ER Fighting for Her Life
  • 00:24:30 - Eight Antibiotics and Hearing Loss
  • 00:31:00 - The Injector Walks Free
  • 00:40:00 - How Illegal Med Spas Keep Getting Away With It
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October 8, 2025  ·  13:33

Exposing Bait and Switch Tactics Inside a Popular Med Spa Aesthetics Clinic

Ever wonder who's really overseeing your Botox, your laser treatment, or that facial you booked online? What if the answer is... nobody?

Full show notes

Dr. Kate Dee shares a firsthand account from a master esthetician who left a successful, well-known med spa after just a few months.

What "Sarah" witnessed behind the scenes reveals troubling practices that put patients at risk every day: procedures performed without proper medical oversight, broken equipment passed off as fully functional, and clients charged premium prices for treatments they never actually received.

Discover how some med spas operate when there's no real medical director on site. You'll hear about substituted products, half-working lasers, and why some facilities will do anything to get you in the door, including something that may even shock you.

Dr. Dee, a board-certified physician and founder of GLOW Med Spa, breaks down the specific red flags that could save you from wasting money or worse, risking serious injury.

You’ll learn exactly what questions to ask before booking your next appointment. Dr. Dee provides a practical guide for identifying whether a med spa is operating legally and safely, starting with one critical question about the medical director that most patients never think to ask.

This is a must-listen if you care about your skin, your health, or your wallet.

If you're considering any aesthetic treatment, from facials to laser procedures, this could be the difference between a great result and a dangerous mistake.

Have a question, story, or insight to share?

Leave Dr. Dee a Note → drkatedee.com/contact

Follow Her on Instagram: instagram.com/drkatedee

Be the first to know about upcoming appearances, live Q&As, and new investigations → MedSpaMayhem.com

Details about GLOW Medispa in Seattle, WA: https://glowspaseattle.com/

Views shared by Dr. Kate Dee and her guests reflect their professional opinions and experiences, every patient is unique, and no doctor-patient relationship is created.

Some episodes include anonymous or secondhand accounts; while accuracy is a priority, these stories represent individual experiences. Verify credentials, do your research, and always prioritize your safety.

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October 1, 2025  ·  54:35

Secrets to a Healthy and Vital Long Life with Dr. Flora Waples

In this episode of MedSpa Mayhem, host Dr. Kate Dee welcomes back Dr. Flora Waples from Restor Medspa to discuss the importance of hormones and other groundbreaking approaches for improving wellness, longevity, and energy levels. They dive into the complex world of HRT, including estrogen, progesterone, and testosterone, and its critical role in optimizing health as we age. Dr. Waples shares her personal journey with HRT and metabolism management, discusses the science behind treatments like GLP-1 agonists, NAD, and rapamycin, and explores how these therapies can help stave off the 'four horsemen' of aging: cardiovascular disease, cancer, neurodegeneration, and metabolic dysfunction. Learn about the tangible benefits, the myths, the science, and the future of longevity medicine in this insightful conversation.

Full show notes & chapters

Connect with Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Contact Dr. Flora Waples

Restor Medical Spa

LinkedIn

Hormone replacement therapy is crucial for maintaining health and vitality as we age.

Testosterone and thyroid hormones play significant roles in women's health, affecting energy, metabolism, and overall well-being.

Metabolic health, including managing blood sugar and visceral fat, is foundational to preventing age-related diseases.

Dr. Flora Waples emphasizes the importance of addressing health issues before they develop into full-blown diseases.

Exercise and proper nutrition are essential components of a healthy lifestyle and can significantly impact longevity.

Dr. Waples shares her personal journey of overcoming pre-diabetes and improving her health through hormone therapy and lifestyle changes.

The podcast highlights the need for a shift from disease-centric to health-optimizing medical practices.

Chapters
  • 00:15 Introduction and Welcoming Dr. Flora Waples
  • 02:47 Journey into Longevity Medicine
  • 04:04 The Importance of Hormones in Aging
  • 06:12 Hormone Replacement Therapy and Its Benefits
  • 13:18 The Role of Testosterone and Thyroid in Women's Health
  • 17:59 Optimizing Hormone Leve
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September 17, 2025  ·  58:05

Real-Life Medspa Stories with Mandy Ward

In this episode of MedSpa Mayhem, Dr. Kate Dee hosts Mandy Ward, a nurse practitioner with extensive experience in the chaotic world of medical aesthetics. Mandy shares her journey from working in trauma ICU to becoming an expert in cosmetic treatments like Botox and fillers. The discussion covers vital industry issues, such as the importance of good faith exams, the risks of subpar practices, and the legal and ethical concerns in states like Texas. Listeners gain insights on how to choose safe and legitimate med spa providers, the significance of having proper medical oversight, and the necessity for regulations to ensure patient safety.

Full show notes & chapters

Connect with Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Connect with Mandy Ward

Instagram: @LadyWardAesthetics

The importance of good faith exams and compliance in aesthetic practices is crucial for patient safety.

Mentorship and continuous education are essential for success in the aesthetic industry.

Understanding the regulatory landscape is vital for ethical and compliant practice.

Consumers should be aware and carefully select their aesthetic providers to ensure safety and quality.

Industry certification and elevating standards are necessary to improve the overall quality of aesthetic services.

Chapters
  • 00:00 Introduction to MedSpa Mayhem
  • 01:05 Meet Mandy Ward: A Journey in Nursing
  • 03:20 Breaking into the Aesthetics Industry
  • 06:29 First Job Horrors: Unsafe Practices
  • 13:04 Finding a Better Fit: Mentorship and Legal Battles
  • 16:08 Industry Insights: Ethics and Practices
  • 20:07 Exploring New Treatments and Techniques
  • 25:49 Compliance and Business Growth
  • 27:27 Understanding Good Faith Exams
  • 29:00 Legal Requirements and Compliance
  • 30:13 Challenges in Medical Practices
  • 33:43 Handling Vascular Occlusions
  • 37:57 Weight Loss Clinics and Ethical Concerns
  • 50:38 Navigating the Med Spa Industry
  • 54:42 Conclusion and Final Thoughts
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September 3, 2025  ·  31:45

Introducing The Medspa Board with Nicole Gregory

In this episode of MedSpa Mayhem, Dr. Kate Dee is joined by Nicole Gregory, an MBA and business owner of Med Spas in Michigan, to discuss the challenges of discerning legitimate med spas from illegal operations. They delve into the inception and goals of the Medspa Board, a credentialing organization aimed at elevating safety and standards in the aesthetics industry. The conversation covers the complexities of the sector, including the prevalence of absentee medical directors and the importance of having certified med spas for consumer reassurance and safety. They also highlight the upcoming launch of a certification process and the importance of consumer education.

Full show notes

Connect with Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Reach out to Nicole Gregory

Urban You

LinkedIn

Interview on Medium

Instagram Nicole Gregory @passportmoments

Instagram MISPA @themimedspa

The Med Spa Board aims to provide certification for legitimate med spas.

Consumer safety is a primary concern in the med spa industry.

There is a significant amount of misinformation regarding med spa practices.

Medical directors play a crucial role in ensuring safe practices in med spas.

Legislation is evolving to address issues within the med spa industry.

The industry has seen an increase in unethical practices due to rapid growth.

Consumers need to be educated about what to expect from med spas.

The Medspa Board seeks to empower consumers with knowledge and resources.

Ethical practices are essential for the credibility of the med spa industry.

The Med Spa Board will help set standards and regulations for the industry.

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August 20, 2025  ·  45:43

DIY Skincare: Insights from Bramble Berry's Anne-Marie Faiola

Dive into the fascinating world of DIY skincare with Dr. Kate Dee and her guest, Anne-Marie Faiola, the visionary CEO of Bramble Berry Handcraft Provisions. Anne-Marie shares her journey from criminology to becoming a soap-making entrepreneur, the science behind safe skincare practices, and the importance of preservatives and safe ingredients in skin care. They discuss the regulations for selling homemade skincare products, the challenges of ensuring ingredient quality, and the benefits of creating your own skincare. Anne-Marie also highlights inspiring success stories from Bramble Berry customers who turned their DIY passion into thriving businesses.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Connect with Anne-Marie Faiola

Bramble Berry website

Soap Queen TV on youtube

Follow Anne-Marie on Instagram

Anne-Marie Faiola transitioned from a career in criminology to founding Bramble Berry, driven by her passion for creativity and change.

DIY skincare allows individuals to control their ingredients, ensuring product safety and customization for personal needs.

The cosmetic industry is highly regulated, but small businesses can thrive by adhering to good manufacturing practices.

Creativity can lead to personal empowerment and even successful business ventures, as seen in Bramble Berry's community stories.

Anne-Marie emphasizes the importance of authenticity and passion in building a successful and fulfilling career.

Chapters
  • 00:00 Introduction to Mold and Bacteria in Skincare
  • 00:27 Welcome to MedSpa Mayhem
  • 01:21 Meet Anne-Marie Ola: From Criminology to Soap Making
  • 02:30 The Journey from Prisons to Soap Business
  • 05:01 Ensuring Ingredient Safety in DIY Skincare
  • 12:26 The Importance of Preservatives in Skincare
  • 24:18 The Benefits of Homemade Products
  • 26:54 Success Stories in the Handmade Industry
  • 28:38 Regulations and Legalities of Selling Handmade Products
  • 35:53 Ensuring Product Quality and Authenticity
  • 41:44 Connecting with Bram
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August 6, 2025  ·  42:44

Longevity Medicine: how to live healthier longer with Dr. Richard Baxter

In this episode of MedSpa Mayhem, Dr. Kate Dee delves into the exciting developments in anti-aging and longevity medicine with Dr. Richard Baxter, a board-certified plastic surgeon. Dr. Baxter shares his journey from traditional plastic surgery to aesthetics and ultimately to longevity medicine. The discussion covers groundbreaking treatments such as the use of growth hormone releasing peptides, metformin, and therapeutic plasma exchange. They also explore regenerative medicine techniques like PRP, exosomes, PDGF and delve into how measuring biological age through epigenetic markers is transforming the approach to aging. Listeners will gain insights into effective anti-aging strategies and learn about cutting-edge treatments that promise to extend healthspan and improve quality of life.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Connect with Dr. Richard Baxter

Phase Plastic Surgery Website: drbaxter.com

Read Biohacking Longevity (PDF)

Social Media: Facebook, Instagram, youtube

Regenerative medicine is a growing field in aesthetics, focusing on restoring tissue.

Longevity medicine aims to extend healthspan, not just lifespan.

Biological age can be measured through epigenetics and biomarkers.

Interventions like metformin and peptides show promise in reversing aging.

Lifestyle factors, including diet and exercise, play a crucial role in longevity.

Intermittent fasting can mimic the effects of caloric restriction.

Therapeutic plasma exchange has shown potential in reversing aging markers.

Skin health reflects overall internal health and wellness.

Staying educated about longevity treatments is essential for informed choices.

Chapters
  • 00:00 Introduction to MedSpa Mayhem
  • 01:04 Meet Dr. Richard Baxter
  • 02:21 The Evolution of Plastic Surgery
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July 23, 2025  ·  42:35

Understanding and Treating Melasma: Insights from Dermatologist Dr. Jennifer Linder

In this episode of MedSpa Mayhem, host Dr. Kate Dee chats with Dr. Jennifer Linder, a board-certified dermatologist, about the complex issue of melasma. They discuss what melasma is, its triggers, and why traditional treatments like lasers can sometimes make it worse. Instead, Dr. Linder recommends a series of chemical peels featuring specific ingredients like salicylic acid, mandelic acid, and trans-examic acid. They also cover important skincare routines, the role of diet and lifestyle changes, and more advanced treatments like oral tranexamic acid for resistant cases. This comprehensive conversation aims to equip sufferers and clinicians with effective strategies to manage this chronic skin condition.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Contact Dr. Jennifer Linder:

Professionals: www.linderhealthpro.com and for any

Consumers: www.linderhealth.com

Instagram @linderhealth and @jenniferlindermd

Melasma is a chronic inflammatory problem that can be difficult to treat.

Avoid Laser! Laser treatments for melasma can lead to rebound effects, worsening the condition.

Chemical peels are a gentler and more effective treatment for melasma.

Skin care for melasma includes Vitamin C, Tyrosinase Inhibitors, moisturizer and sun block

Understanding the triggers of melasma, such as sun exposure and heat, is important for prevention.

People often feel psychologically impacted by melasma, affecting their quality of life.

An anti-inflammatory diet can help with melasma and other conditions.

Oral tranexamic acid should be a last resort due to clotting risks.

Patience is crucial in treating melasma effectively.

14:

Chapters
  • 00:00 Introduction to MedSpa Mayhem
  • 01:10 Meet Dr. Jennifer Linder
  • 01:59 Understanding Melasma
  • 03:34 Triggers and Challenges of Melasma
  • 08:43 Treatment Options for Melasma
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July 9, 2025  ·  46:59

John Oliver, Salmon Jizz, and the Science behind Salmon Sperm

In this episode of MedSpa Mayhem, host Dr. Kate Dee dives into the controversial yet intriguing world of salmon sperm in aesthetics with guest Dr. Flora Waples. They discuss the science behind using DNA fragments from salmon sperm for skin regeneration, dissecting its safety and efficacy. The conversation also covers distinguishing legitimate treatments from dubious practices in the med spa industry and emphasizes the importance of regulatory standards and scientific inquiry in aesthetic medicine.

Full show notes & chapters

Why Salmon Jizz? Watch Last Week Tonight with John Oliver: Medspa Episode

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Contact Dr. Flora Waples

Restor Medical Spa

LinkedIn

PDRNs, derived from salmon sperm, are used for skin regeneration by mimicking a wound signal.

PDRNs are not yet FDA approved for injection in the US, but are used topically and in Europe for injections.

Safety and efficacy of PDRNs have been established in Europe, with a good track record of use.

The aesthetic industry lacks standardization, making it crucial for patients to seek reputable providers.

Patients should inquire about the source and purity of PDRNs used in treatments.

The future of aesthetic medicine is promising, with ongoing research and development in regenerative therapies.

Chapters
  • 00:00 Introduction to MedSpa Mayhem
  • 01:11 Meet Dr. Flora Waples
  • 01:50 The Journey from Emergency Medicine to Aesthetics
  • 03:45 The Science Behind Salmon Sperm in Aesthetics
  • 05:19 Understanding Skin Regeneration
  • 07:21 The Role of DNA in Skin Healing
  • 09:01 Why Salmon Sperm?
  • 13:46 Application and Effectiveness of PDRNs
  • 20:56 Regenerative Medicine: The Future of Aesthetics
  • 22:50 Understanding Exosomes: The Basics
  • 23:02 The Complexity of Growth Factors
  • 23:34 Challenges in Exosome Science
  • 23:57 Exosome Sources and Quality Concerns
  • 26:06 Application and Efficacy of Ex
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June 25, 2025  ·  52:59

The Wild World of Lasers with Raechel Lowe Jaap

Laser Craziness with Dr. Kate Dee and Rachel Lowe Jap

Full show notes

In this episode of MedSpa Mayhem, host Dr. Kate Dee sits down with Rachel Lowe Jap, a laser expert with extensive experience in the medical aesthetics industry. The conversation covers Rachel's journey from aesthetician to laser tech and nurse, delving into her early inspirations and career milestones. They discuss the nuances of laser treatments, the importance of proper training, and the varying legal landscapes surrounding medical aesthetics across different states. Rachel shares some harrowing experiences from her career, emphasizing the need for stringent regulations and proper vetting in the industry. They also explore the benefits of certain laser treatments, the complexities of purchasing and using laser devices, and the implications of evolving technologies. Throughout the episode, the focus remains on ensuring safety, efficacy, and consumer education in the chaotic and often unregulated world of medical aesthetics.

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Reach out to Raechel Lowe Jaap

Instagram @laserrae

The Aesthetic Blend, Tallahassee, FL

The aesthetics industry has evolved significantly since the introduction of lasers and Botox in 2003.

Many practitioners lack the necessary knowledge and experience to safely operate lasers.

Real-life complications can arise from improper training and oversight in laser treatments.

The nursing school experience often does not prepare students for aesthetic practices.

Legal and ethical considerations in aesthetics are complex and vary by location.

Patient safety is a critical concern in the aesthetics industry.

Rachel emphasizes the importance of passion and dedication in pursuing a career in aesthetics.

Understanding skin health is essential before using lasers.

The aesthetic industry faces challenges with device sales and safety.

Proper training and knowledge are vital for successful laser treatments.

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June 11, 2025  ·  46:32

Skincare & Peels with Dr. Jennifer Linder

In this conversation, Dr. Kate Dee speaks with Dr. Jennifer Linder, a board-certified dermatologist and founder of PCA Skin and Linder Health, about the importance of skincare, the science behind effective products, and the journey of creating innovative skincare solutions. They discuss the significance of medical-grade skincare, the role of active ingredients, and the necessity of a proper skincare routine. The conversation highlights the ongoing innovations in the skincare industry and the importance of professional treatments for optimal skin health. In this conversation, Dr. Kate Dee and Jennifer Linder explore innovative approaches to chemical peels, emphasizing the importance of minimizing downtime and maximizing efficacy. They discuss the evolution of peels that control inflammation, allowing for concurrent treatments and less visible peeling. Jennifer shares insights on tailored peels for specific skin concerns, including melasma, and highlights the significance of safety and education in clinical treatments.

Full show notes

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Contact Dr. Jennifer Linder:

Professionals: www.linderhealthpro.com and for any

Consumers: www.linderhealth.com

Instagram @linderhealth and @jenniferlindermd

Skincare can have positive outcomes and is essential for skin health.

A basic skincare routine should include cleansing, moisturizing, and sun protection.

Chemical peels can be designed to minimize inflammation while promoting skin health.

Innovations in skincare are ongoing, with new formulations improving efficacy. Dr. Linder emphasizes the importance of doing treatments in series for better results.

The Linder Health and LH Labs focus on controlling inflammation during peels.

New peels cause less visible peeling, allowing patients to maintain their daily routines.

Compatibility of skincare products is crucial for effective treatment.

Skincare should enhance confidence and promote natural beauty.

00:00

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May 28, 2025  ·  42:18

Exosomes and Stem Cells with Dr. Judy Rubin

In this episode of MedSpa Mayhem, hosted by Dr. Kate Dee, the focus is on the use of exosomes and stem cells in medical aesthetics. Dr. Dee talks to Judy Rubin, an internal medicine doctor with extensive experience in aesthetics, about how exosomes can aid in cell-to-cell communication, particularly in joint and systemic treatments. The discussion covers what exosomes are, their applications, and the importance of using high-quality sources. Rubin shares her personal experience with stem cell treatment for her meniscal tear, highlighting the benefits she noticed within five weeks. The conversation also explores the challenges of ensuring product quality, the ethical considerations around sourcing exosomes, and the importance of certification for med spas. Additionally, the episode introduces listeners to the soon-to-launch MedSpa Board, an organization aimed at certifying med spas to ensure they operate legally and ethically.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Meet Dr. Judy Rubin

Nouveau Medspas in Gig Harbor, WA

Exosomes are small vesicles used for cell communication, crucial for signaling in injury recovery.

Stem cells can regenerate tissues and respond to exosome signals.

Quality control is essential in sourcing exosomes.

There is a lack of regulation in the exosome market.

Patients should seek qualified professionals for exosome treatments. Patients should inquire about sterility and endotoxin testing.

Stem cell treatments are still highly experimental and not guaranteed to work.

Regulation of med spas is inconsistent across states and a new entity, the MedSpa Board, aims to certify ethical and legal practices in the industry.

Researching providers and treatments is essential for patient safety.

Chapters
  • 00:00 Introduction and Personal Experience with Stem Cells
  • 00:27 Welcome to MedSpa Mayhem
  • 01:21 Meet Dr. Judy Rubin
  • 02:08 Understanding Exosomes
  • 06:01 Stem Cells Explained
  • 06:37 Sources and Types of Stem Cells
  • 11:13 Quality and Safety C
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May 14, 2025  ·  45:05

Direct Primary Care and Women's Health & Hormones with Dr. Stefie Deeds

In this episode of MedSpa Mayhem, Dr. Kate Dee discusses the advantages of direct primary care with guest Dr. Steffie Deeds, an internal medicine physician and founder of her own direct care practice. The conversation covers the broken traditional insurance-based healthcare system, the benefits of direct primary care for both physicians and patients, and the practical implementation of this model. Dr. Deeds explains the difference between having insurance and receiving actual care. The episode also delves into women's health issues, particularly around hormones and menopause, debunking myths and emphasizing the importance of proper treatment. The show highlights how physicians like Dr. Deeds are transforming patient care by focusing on long-term relationships and personalized medicine.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Reach out to Dr. Stefie Deeds

Website: www.deedshealth.com

Menopause Checklist: drdeeds.kit.com/menopause-checklist

Instagram: www.instagram.com/stefiedeedsmd

Direct Primary Care is an alternative model to traditional medicine that allows more time for patient visits and a more comprehensive approach to care

Hormones and menopause are increasingly recognized in women's health.

Many doctors lack training in menopause management.

The Women's Health Initiative study has been misinterpreted for years.

Hormone therapy can protect heart and bone health.

Bioidentical hormones are not inherently better than FDA-approved options.

Early conversations about menopause can lead to better health outcomes.

Community engagement is vital for women's health education.

23:28

Chapters
  • 00:00 Introduction to MedSpa Mayhem
  • 01:11 Meet Dr. Stefie Deeds
  • 02:26 Understanding Direct Care
  • 03:28 Challenges in Traditional Healthcare
  • 06:17 The Benefits of Direct Care
  • 17:56 Hormones and Menopause
  • 22:52 The Shift Towards Treatment
  • 23:07 Challenges in Accessing Care
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April 30, 2025  ·  54:06

Inside the Wild West of Med Spas: Neurotoxins, Lasers, and Legal Chaos with Amanda Lemmage

In this episode of MedSpa Mayhem, host Dr. Kate Dee interviews Amanda Lemmage, owner of Skingevity Med Spa. They discuss their preferences for different FDA-approved neurotoxins like Dysport and Botox, detailing the pros and cons of each. They then delve into their favorite laser and RF microneedling treatments, highlighting the superior technologies from Korea and the importance of avoiding high-risk treatments like CO2 lasers. Lastly, they touch upon the confusing and inconsistent legal landscape governing med spas, emphasizing the necessity of medical directors and ethical practices. Dr. Dee also introduces a new initiative, the Medspa Board, aimed at certifying reputable med spas to protect consumers.

Full show notes

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Find out about the Medspa Board

Meet Amanda Lemmage

Amanda on Instagram and LinkedIn

Skingevity Med Spa in Spring Park, IL

Check out Amanda’s podcast: the All-In Wellness Show

Neurotoxins like Botox and Dysport have different properties and are not the same

Patient education is crucial in aesthetic treatments.

Ablative lasers carry higher risks and are generally avoided.

RF microneedling is a safe and effective treatment option.

Honesty and transparency with patients build trust.

The med spa industry is evolving with new technologies and regulations. People want to be educated and not pressured into treatments.

Regulations vary significantly by state in the aesthetics industry.

Medical directors must be actively involved in practices.

There is a movement towards stronger medical directorship in med spas.

Patients should be aware of the qualifications of their providers.

The Medspa Board aims to certify compliant med spas.

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April 16, 2025  ·  52:51

Inside Medspa Marketing: Tactics, Strategies, and Industry Insights with Middle Way Marketing

In this episode, Dr. Kate Dee interviews Brett Chikowski (COO) and Connor O'Rourke (CEO), co-founders of the med spa marketing firm Middle Way Marketing. They discuss their backgrounds, how they met, and the inception of their company. The conversation delves into effective marketing tactics for med spas, including foundational digital strategies, the importance of high-quality content, and the significance of a well-trained staff. They also compare the effectiveness of Google ads versus social media ads, highlight common pitfalls in the industry, such as leased websites, and share their approach to reputation management and reviews. Both industry veterans offer valuable advice for med spa owners looking to improve their marketing strategies and for consumers seeking legit practices.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Reach Out to Middle Way Marketing

Conner O’Rourke - CEO

Brett Chikowski - COO

Middle Way Marketing is a digital marketing agency focused on marketing for doctors and med spas. They are based out of Austin, TX and specialize in websites, SEO, Google PPC, social media content campaigns, videography, and photography. For inquiries please email [email protected] or visit www.middlewaymarketing.com.

Foundational marketing is crucial for long-term success.

High-quality personalized content is essential for attracting clients.

Reputation management and reviews are vital for attracting new patients.

Avoid marketing agencies that lease websites to clients.

Word of mouth remains the most effective marketing strategy.

SEO is essential for being discoverable online.

Educating clients about marketing is vital for transparency.

Understanding the marketing process helps set realistic expectations.

Legitimate med spas prioritize patient education over sales.

Chapters
  • 00:00 Introduction to MedSpa Mayhem
  • 01:11 Meet the Middle Way Marketing Founders
  • 01:59 Marketing Tactics for Med Spas
  • 02:39 The Origin Story of Middle Way Marketing
  • 06:15 Foundational Marketing Strategies
  • 09:18 Challenges with Lead Generation
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April 2, 2025  ·  37:11

What’s next after weight Loss with GLP-1’s?

In this episode of MedSpa Mayhem, Dr. Kate Dee discusses the intricacies of weight loss using GLP-1 agonists with naturopathic doctor Ashley Millhiser. They delve into the importance of complete body optimization, the benefits and pitfalls of GLP-1 drugs, and strategies for sustainable weight loss. Key topics include the significance of monitoring fat loss over weight loss, individualized patient care, and supplemental treatments such as strength training and advanced muscle-building devices like Emsculpt Neo. Both experts emphasize the necessity of working with knowledgeable providers to avoid the common mistakes in using these medications and ensure long-term success.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Medspa Board Website

Meet Ashley Milhizer, ND and on instagram

Visit Real Results medical, locations in Tempe and Scottsdale AZ: website, and on instagram

Weight loss is a journey that requires ongoing management.

Individualized approaches to medication are crucial for success.

Diet should focus on whole foods and adequate protein intake.

Exercise should include strength training to preserve muscle mass.

Utilizing technology can enhance muscle building and recovery.

Common pitfalls include moving too quickly with medication adjustments.

Sustainable weight loss requires patience and lifestyle changes.

Monitoring muscle mass is essential to prevent wasting during weight loss.

Professional guidance is important for long-term success.

Weight loss medications can lead to significant health improvements.

Chapters
  • 00:00 Introduction to MedSpa Mayhem
  • 01:20 Meet Dr. Kate Dee and Ashley Millhiser
  • 01:58 The Weight Loss Journey with GLP-1 Agonists
  • 04:16 Long-Term Weight Management Strategies
  • 11:55 The Role of Diet and Nutrit
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March 19, 2025  ·  38:02

Liposuction and Weight Loss with Dr. Giselle Prado-Wright

In this episode of MedSpa Mayhem, Dr. Kate Dee interviews Dr. Giselle Prado Wright, founder of Exert Body Sculpt in Florida, to discuss the intricacies of liposuction and weight loss. Dr. Wright shares her unique journey from aspiring dermatologist to liposuction specialist, emphasizing the importance of resilience and mentorship in the medical field. The conversation covers various aspects of liposuction, including patient candidacy, procedural details, post-operative care, and the impact of weight loss medications like GLP-1 agonists. Dr. Wright also highlights the common complications associated with liposuction, particularly seromas, and the critical need for proper follow-up care. Additionally, Dr. Dee and Dr. Wright touch upon the pitfalls of seeking low-cost cosmetic surgeries in high-volume clinics, emphasizing the necessity of choosing experienced practitioners who provide comprehensive care. Tune in to learn more about the wild west of medical aesthetics and how to navigate it safely.

Full show notes

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Dr. Prado-Wright is a cosmetic surgeon in Fort Myers, FL specializing in awake liposuction and non-invasive procedures for facial rejuvenation. She founded Exert BodySculpt in 2021 and has built a successful business by combining her medical expertise with advanced marketing and sales tactics. Dr. Prado-Wright is currently focused on helping physicians start or scale their entrepreneurial and practice ownership journey through franchising.

Patients: https://exertbodysculpt.com/

Physicians: exertbodysculpt.com/franchise

Instagram: instagram.com/drgisellepradowright

Liposuction requires extensive practice and understanding of human anatomy to perform safely and effectively.

The ease of performing liposuction can vary greatly depending on the patient's body type and previous surgeries.

Integrating weight loss programs with liposuction can enhance patient outcomes and satisfaction.

Surgeons should prioritize patient desires and not push unnecessary procedures.

Post-operative care is crucial for successful recovery and patient satisfaction.

Patients often experience emotional challenges post-surgery, which can be exacerbated by complications. Recovery from liposuction can take six months to a year.

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March 5, 2025  ·  1:06:22

Fat Mascara: the hidden dangers of the Med Spa Industry

In this special bonus episode of Med Spa Mayhem on the Fat Mascara Podcast, Dr. Kate Dee discusses her journey from diagnostic radiology to owning a med spa after a successful career in breast cancer imaging. Co-hosted with Jen Sullivan, the episode dives deep into the legal and safety challenges within the med spa industry, including the frequent headline-making abuses like counterfeit Botox and illegal practices. Dr. Dee provides critical advice on how to find reputable and legal med spas, the importance of good faith exams, red flags to watch out for, and the potential dangers of common procedures like fillers and laser hair removal. Listeners also get a sneak peek into Dr. Dee's vision for a national nonprofit organization to certify med spas for legality and safety, aiming to protect consumers better.

Full show notes

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Visit the Fat Mascara Podcast

Key Takeaways:

Lack of Med Spa Regulations: Unlike salons, med spas are not routinely inspected or licensed by a governing body, creating a gray area in oversight.

Legal Gray Areas & Violations: Many med spas operate illegally, with nurses practicing independently without a doctor’s supervision, despite laws prohibiting this in most states.

Minimal Consequences for Violators: Even when caught ordering counterfeit products or practicing without a license, offenders often face little to no legal repercussions.

No National Accreditation: There is no national organization certifying med spas for safety and legality, but Dr. Dee is working to create one.

Consumer Responsibility: Patients must research providers, verify credentials, and ensure they receive a proper medical evaluation before undergoing treatments.

Rise of Counterfeit Products: Fake Botox and fillers are widely used due to lax enforcement, leading to serious health risks.

Turf Battles in the Industry: Dermatologists, plastic surgeons, and non-core doctors often dispute who should be allowed to practice aesthetic medicine.

The “Good Faith Exam” Requirement: Before treatment, a patient should be examined by a doctor, nurse practitioner, or physician assistant, but this often doesn’t happen in med spas.

Dr. Dee’s Mission: Through her book Med Spa Mayhem and efforts with the American Med Spa Association, she aims to raise aw

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February 19, 2025  ·  31:51

The GLP-1 Journey: From Semaglutide to Tirzepatide and back?

In this episode, Dr. Kate Dee and her best friend Felicia discuss their personal experiences with GLP-1 medications, specifically semaglutide and tirzepatide, which are gaining popularity for weight loss and diabetes treatment. The conversation covers the impact of these medications on weight loss, hunger, and alcohol consumption, as well as the importance of medical supervision, proper nutrition, and maintenance strategies. Felicia shares her journey of losing weight post-menopause and how she navigated the side effects, while Dr. Dee provides insights on best practices for using these medications. Together, they emphasize the significance of prioritizing protein intake, staying active, and preparing for potential changes in drug accessibility and pricing.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Chapters
  • 00:00 Introduction and Special Guest
  • 02:15 Felicia's Weight Loss Journey
  • 04:42 Side Effects and Observations
  • 08:51 Maintenance and Long-Term Effects
  • 10:28 Comparing GLP-1 Drugs
  • 16:30 Future of Weight Loss Medication
  • 21:56 Conclusion and Final Thoughts
Listen on Buzzsprout →
February 5, 2025  ·  43:37

Innovation in Aesthetics 2025 with Nicole Gregory

In this episode of MedSpa Mayhem, host Dr. Kate Dee chats with Nicole Gregory, CEO and co-founder of Urban You Beauty and Wellness in Michigan. Gregory shares her journey into the med spa industry starting with her entrepreneurial background. They discuss the growth and regulation of various trends such as medical weight loss, hair restoration with exosomes, and the integration of wellness services. The episode ends with a look ahead to emerging trends and potential innovations in the aesthetics industry.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Reach out to Nicole Gregory

Urban You

LinkedIn

Interview on Medium

Staying ahead of trends is important for business differentiation.

Weight loss trends are rapidly evolving in the aesthetics market.

Future trends in medical aesthetics will require innovation and regulation awareness. The aesthetic industry is rapidly evolving with new treatments.

Effectiveness, safety, and legality are crucial in aesthetic procedures.

The industry is experiencing a rebirth with a focus on quality and customer experience.

Chapters
  • 00:00 Introduction to MedSpa Trends
  • 00:33 Welcome to MedSpa Mayhem
  • 01:26 Meet Nicole Gregory
  • 03:23 Nicole's Entrepreneurial Journey
  • 05:58 The Rise of Medical Spas
  • 08:05 Ensuring Quality and Compliance
  • 14:42 Innovations in Wellness Services
  • 15:48 The Weight Loss Debate
  • 21:40 Exploring Semaglutide and Compounding Pharmacies
  • 22:46 Trends in Weight Loss and Hair Restoration
  • 24:31 Navigating Industry Trends and Legalities
  • 24:57 The Rise and Fall of Vaginal Rejuvenation
  • 26:33 Exosomes: Hype vs. Reality
  • 29:47 Challenges in Cellulite Treatments
  • 32:38 Future Trends in Medical Weight Loss and Skin Tightening
  • 35:05 Innovations in MedSpa Operations
  • 40:54 Conclusion and Contact Information
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January 22, 2025  ·  30:30

Tackling Mayhem & Legal Compliance in the Med Spa Industry with Nicole Gregory

In this episode of MedSpa Mayhem, Dr. Kate Dee discusses the chaotic landscape of the medical aesthetics industry with Nicole Gregory, co-founder and CEO of Urban You Beauty and Wellness. They highlight the prevalence of illegal and unsafe practices, stressing the need for legal compliance and better industry standards. They introduce initiatives like the Michigan Med Spa Association and the proposal for a national certification to bring regulatory oversight and ensure patient safety. Dr. Kate Dee shares her vision for the Med Spa Board, which aims to certify med spas nationwide, ensuring they operate legally and safely. Nicole Gregory sheds light on efforts to improve transparency and accountability in Michigan's med spa industry.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Reach out to Nicole Gregory

Urban You

LinkedIn

Interview on Medium

The medspa industry is experiencing a rebirth with a focus on quality and customer experience.

Compliance in medical aesthetics is critical to ensure patient safety.

Many med spas operate outside the legal framework, leading to poor outcomes.

There is a lack of specific regulations for medical spas despite the extensive regulations in medicine.

Many med spas operate under the radar, complicating oversight and safety.

The Michigan Med Spa Association aims to improve standards and compliance in the industry.

Consumer awareness and transparency are crucial for patient safety in medical aesthetics.

Establishing national standards for med spas could enhance safety and accountability.

The conversation highlights the importance of vetting medical spas before treatment.

The aesthetics industry is evolving, with a growing focus on ethical practices.

01:12

Chapters
  • 00:00 Introduction to MedSpa Mayhem
Listen on Buzzsprout →
January 8, 2025  ·  19:44

Tirzepatide Weight Loss in Chaos

In this episode of MedSpa Mayhem, Dr. Kate Dee discusses the turmoil surrounding the weight loss drugs semaglutide and tirzepatide, focusing on recent FDA regulations and the ongoing legal battles involving compounding pharmacies. Dr. Dee explains the benefits and side effects of these drugs, particularly the differences between semaglutide and tirzepatide, and shares her personal and professional experiences with them. The episode also covers the impact of FDA decisions on med spas across the country, potential shifts in drug availability, and the ethical and legal dilemmas faced by practitioners. Furthermore, Dr. Dee provides an update on Dr. Sagan’s ongoing lawsuit with Eli Lilly for false advertising and trademark infringement.

Full show notes & chapters

Email Dr. Kate Dee at [email protected]

Chapters
  • 01:10 The Tirzepatide Saga
  • 02:37 Compounding Pharmacies and Legal Issues
  • 06:22 FDA Announcements and Lawsuits
  • 11:05 Personal Experiences and Future Predictions
  • 15:22 Updates on Dr. Sagan and Conclusion
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January 1, 2025  ·  37:49

Debunking Back Pain Myths with Dean Volk

In this episode of MedSpa Mayhem, Dr. Kate Dee talks with Dean, a physical therapist with over 30 years of experience, about innovative approaches to treating sciatica and back pain. Dean shares his journey from traditional physical therapy to finding new methods that improved his success rate significantly. They discuss the common misconceptions surrounding sciatica, the limitations of traditional treatments, and how to recognize and address body imbalances contributing to pain. Dean also offers insights into how he transitioned his practice online and the success he's had with virtual consultations. They also touch on the role of diet in managing inflammation and the success stories of patients who have benefited from Dean's methods.

Full show notes & chapters

Reach out to Dr. Dee

Email Dr. Kate Dee at [email protected]

Reach out to Dean Volk

Email Dean Volk at [email protected]

Connect with Dean Volk at Sciatica Relief Now

Purchase Sciatica Relief Now on Amazon

Find Dean on Facebook and Instagram

Sciatica is a generic term indicating irritation of the sciatic nerve.

Traditional treatments often fail to address the root cause of pain.

Dean's approach focuses on balancing the body to alleviate pain.

Diet can play a significant role in managing inflammation and pain.

Patients often experience relief through personalized movement strategies.

Dean's methods have helped many patients regain mobility and function.

Education and understanding of one's body are key to recovery.

Seeking specialized help can lead to better outcomes for chronic pain.

Chapters
  • 00:00 Introduction to a New Treatment Approach
  • 00:23 Welcome to MedSpa Mayhem
  • 01:17 Personal Back Pain Stories
  • 02:16 Dean's Journey in Physical Therapy
  • 04:55 Discovering a Revolutionary Treatment
  • 07:55 Understanding Sciatica and Back Pain
  • 09:33 Traditional vs. New Approaches
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2024 (46 episodes)
December 25, 2024  ·  52:06

The Year's Top Episodes: Disfigured Beauty

Krysta Carson, also known as Disfigured Beauty, shares her traumatic experience with dermal filler that led to disfigurement. She had been getting filler injections for five years without any issues until the last injection in 2020. After the injection, she experienced numbness and tingling on the left side of her face, which worsened over time. Her face turned black, blistered, and eventually, a portion of her nose fell off. Krista now uses prosthetics to cover the disfigurement. In this conversation, Dr. Kate Dee and Krysta Carson discuss the complications Krysta experienced after receiving a filler injection. They talk about the specific filler used, Radiesse, and its risks. Dr. Kate explains the importance of using dissolvable fillers and having the necessary tools and knowledge to treat complications like vascular occlusion. They also discuss the lack of proper informed consent and the challenges of malpractice lawsuits. The conversation highlights the need for

Full show notes

Email Dr. Kate Dee at [email protected]

Connect with Krysta on Disfigured Beauty

Read the Daily Mail article (warning: graphic images)

Dermal filler injections can have severe complications, including vascular occlusion, which requires prompt and appropriate treatment. This complication can lead to scarring and disfigurement.

Reconstructive surgery or prosthetics may be necessary to address the disfigurement caused by dermal filler complications.

Using dissolvable fillers, like hyaluronic acid fillers, is important to minimize the risk of complications like vascular occlusion.

Proper informed consent should include a thorough discussion of the risks and potential complications of filler injections.

Choosing a qualified and knowledgeable injector is crucial to ensure safe and effective treatment.

Malpractice lawsuits for filler complications can be challenging to win due to the difficulty of proving a violation of the standard of care.

The aesthetics industry lacks regulation and enforcement, making it important for patients to be informed and advocate for their own safety.

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December 19, 2024  ·  42:53

Navigating Chaos in the Beauty Industry with Christine Sherwood

In this episode of MedSpa Mayhem, Dr. Kate Dee hosts Christine Sherwood, a salon and spa owner, life coach, and podcast host. They dive into the unpredictable world of medical aesthetics, sharing personal experiences and uncanny stories from their careers. Discussions range from the importance of continued education and sanitation in the beauty industry to bizarre client encounters, including a photographer who crossed many boundaries and a spooky Brazilian waxing incident. With insights on how to spot red flags in salons and spas and the necessity of self-awareness and self-belief, this episode is packed with both entertaining and educational content.

Full show notes & chapters

Email Dr. Kate Dee at [email protected]

Krystine Sherwood on LinkedIn and Instagram

The BeautyPro Podcast on YouTube and Apple Podcasts

Safety and awareness are crucial in the salon environment, especially with new clients.

Christine emphasizes the importance of training and proper education in beauty services.

The conversation touches on the challenges of managing a family business in the beauty sector.

The beauty industry is filled with unique stories that highlight both its challenges and rewards.

Sanitation and compliance are critical in beauty services.

Choosing the right salon involves asking the right questions.

Self-awareness is key to personal and professional growth.

Believing in oneself is essential for success.

The beauty industry is constantly evolving; staying updated is crucial.

Chapters
  • 00:00 Creepy Client Encounters
  • 00:30 Introduction to MedSpa Mayhem
  • 01:24 Meet Christine Sherwood
  • 02:13 Christine's Journey in the Beauty Industry
  • 07:21 Starting a Podcast
  • 08:22 Crazy Salon Stories
  • 09:18 The Brazilian Wax Incident
  • 11:31 Laser Hair Removal Insights
  • 15:28 Scams and Strange Clients
  • 19:59 Dealing with Diffic
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December 11, 2024  ·  25:02

Arrest of a MedSpa Owner for Illegal Injectables and Posing as a Nurse

In this episode of MedSpa Mayhem, Dr. Kate Dee delves into the recent arrest of Rebecca Fadaneli, a 38-year-old esthetician and owner of Skin Beaute Med Spa in Massachusetts. Fadaneli was accused of importing counterfeit Botox and fillers from China and Brazil, operating her med spa unlawfully by posing as a nurse, and performing thousands of illegal injections. She allegedly earned over $900,000 while putting her clients' health at serious risk. Dr. Dee discusses the legal consequences Fadaneli faces, the implications for the med spa industry, and critical advice for patients on how to spot and avoid illegal med spas.

Full show notes & chapters

Fake nurses and doctors are more common than you think– always look up their license

Fake Botox and other injectables are easily purchased illegally on the internet

Always ask for the medical director of any med spa

The aesthetician posing as a fake nurse faces upwards of 20 years in prison for endangering the lives of her patients

FDA reporting web site for this case: report your experience here

Read details in ars technica “Havard”-trained spa owner injected clients with bogus Botox, prosecutors say, by Beth Mole

National Headline on CBS: Massachusetts spa owner allegedly performed thousands of illegal counterfeit injections

Email Dr. Kate Dee at [email protected]

Chapters
  • 00:00 Introduction to MedSpa Mayhem
  • 01:15 Case Overview: Arrest in Massachusetts
  • 01:44 Details of the Illegal Activities
  • 02:42 Investigation and Evidence
  • 07:38 Legal Charges and Implications
  • 12:42 How to Identify Illegal Med Spas
  • 21:04 Conclusion and Final Thoughts
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December 4, 2024  ·  39:20

Essentials of Aesthetic Training with Dr. Kristen Jacobs

In this episode of MedSpa Mayhem, Dr. Kate Dee speaks with Dr. Kristen Jacobs about the intricacies of aesthetic training. Dr. Jacobs, owner of Oolala Spa and founder of ART (Aesthetic Resource and Training), shares her journey and insights on becoming an expert in medical aesthetics. The conversation delves into the importance of continuous education, the elements of a robust training program, and the responsibilities of medical directors in the aesthetics industry. They also discuss the critical aspects of patient safety, including managing complications and ensuring high standards in aesthetic practices.

Full show notes & chapters

Visit Dr. Jacobs Aesthetic Resource and Training website

Check out Live Life Beautifully (With a Little Help) on amazon or buy direct

Find Dr. Jacobs at Ooh la la Spa

Aesthetic training is not typically taught in medical or nursing schools.

Hands-on experience is crucial for building confidence in injectables.

Mentorship plays a vital role in the success of new aesthetic providers.

Continuous learning is essential in the evolving field of aesthetics.

Anatomy knowledge is critical for safe and effective aesthetic procedures.

Safety protocols and emergency preparedness are necessary in aesthetics.

Injectors should have extensive hands-on training before treating patients.

Holistic approaches to aesthetics lead to better patient outcomes.

Consumers should ask about the provider's experience and training.

Patients should feel empowered to say no to treatments.

Medical directors should be actively involved in practices.

Chapters
  • 00:00 Introduction to Expertise in Medical Aesthetics
  • 00:20 Welcome to MedSpa Mayhem
  • 01:33 Meet Dr. Kristin Jacobs
  • 02:25 The Journey into Aesthetic Training
  • 03:30 Setting Up a Training Center
  • 04:29 Training Physicians in Aesthetics
  • 07:09 The Importance of Hands-On Experience
  • 17:34 Addressing Comp
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November 27, 2024  ·  49:37

Treating Med Spa Complications: A Plastic Surgeon’s Experience with Cory Goldberg

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.

Full show notes & chapters

Connect with Dr. Goldberg:

IG: @drcorygoldbergmd

www.BeautySpan.com

www.GliSODin.org

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
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November 20, 2024  ·  41:46

Understanding Longevity: Insights from Dr. Rohan Bissoondath

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.

Full show notes & chapters

Connect with Dr. Rohan Bissoondath at Preventous Health

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.

32:43

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
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November 13, 2024  ·  43:53

Let’s talk about Menopause with Dr. Naomi Busch

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.

Full show notes & chapters

Find Dr. Naomi Busch at Seattle Menopause Medicine

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 The
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November 6, 2024  ·  45:30

Expert Insights: Aesthetics and Skincare with Aesthetician Lindsey Holder

In this insightful episode of MedSpa Mayhem, Dr. Kate Dee collaborates with Lindsay Holder, an experienced esthetician and CEO of Lapree 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.

Full show notes & chapters

Lindsey Holder website

Check out Lapree Beauty

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

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 Cons
Listen on Buzzsprout →
October 30, 2024  ·  33:55

A Nurse's Filler Nightmare: Lessons in Safety and Informed Consent

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.

Full show notes & chapters
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
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October 23, 2024  ·  24:23

Understanding Teeth Grinding: Causes, Effects, and Treatments with Rachelle Cohen

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.

Full show notes & chapters

Dr. Rachelle Cohen at West Seattle Endodontics

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
Listen on Buzzsprout →
October 16, 2024  ·  46:20

AmSpa, The Law, and the State of Aesthetics with Alex Thiersch, AmSpa CEO

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.

Full show notes & chapters

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
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October 9, 2024  ·  37:27

Getting Rid of Acne with Dr. Christopher Rex

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.

Full show notes & chapters

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

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
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October 2, 2024  ·  35:41

Weight Loss with Tirzepatide

In this episode, Dr. Kate Dee and Dr. Randy Lindstrom discuss weight loss medications, particularly focusing on the benefits and differences between Semaglutide (Ozempic/Wegovy) and Tirzepatide (Manjaro/ZepBound). They explain the scientific mechanisms, potential side effects, and legal issues surrounding these treatments. Both doctors share their personal experiences using these drugs and highlight the importance of medical guidance when undergoing such treatments. They also introduce their new weight loss program, GlowFit, and its structured approach to helping patients achieve their weight loss goals safely and effectively.

Full show notes & chapters

Find out more about GlowFit Tirzepatide program

Tirzepatide is a weight loss medication that decreases appetite and slows emptying of the stomach

Medical management is crucial for safe and effective weight loss.

Personal experiences with Tirzepatide show significant weight loss with few side effects.

The Glowfit program aims to provide comprehensive support for weight loss.

Education about the medication and its effects is essential for users.

Tirzepatide has a lower side effect profile compared to semaglutide.

The future of weight loss medications is promising with ongoing research.

Maintaining muscle mass is important during weight loss.

The program is designed to cater to a wide range of weight loss goals.

Chapters
  • 00:00 Food Chatter and Its Impact
  • 01:24 Meet Dr. Randy Lindstrom
  • 02:12 Excitement About Tirzapatide
  • 04:04 Understanding Ozempic and Its Side Effects
  • 08:37 All about Tirzapatide
  • 13:01 Launching the Glow Fit Program
  • 17:06 Sourcing and Legality of Weight Loss Drugs
  • 23:27 Personal Experiences with Terzapatide
  • 32:41 Conclusion and Future Plans
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September 25, 2024  ·  18:12

Speaking Truth to Power

In this episode of MedSpa Mayhem, Dr. Kate Dee shares a personal story from her medical school days, highlighting the challenges and consequences of confronting discriminatory behavior in a hospital setting. She discusses the difficulties of maintaining integrity in a meritocracy-devoid environment and how her experience shaped her approach to the aesthetic medicine industry. Dr. Dee emphasizes the importance of knowing legal practices in the med spa world and sheds light on how unlicensed practitioners can harm patients unwittingly. She concludes with a call to action for consumers to be vigilant and informed about their medical care.

Full show notes & chapters
Chapters
  • 00:00 Welcome to MedSpa Mayhem
  • 00:53 A Personal Story from Dr. Kate Dee
  • 01:22 Medical School Challenges
  • 03:14 Standing Up Against Discrimination
  • 04:05 The Aftermath and Lessons Learned
  • 07:41 The Aesthetics Industry Insights
  • 08:20 Legal and Ethical Concerns in Aesthetics
  • 12:10 Empowering Consumers with Knowledge
  • 14:34 Conclusion and Upcoming Episodes
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September 18, 2024  ·  26:24

Understanding Vascular Occlusion

In this episode of Medspa Mayhem, Dr. Kate Dee, along with physician assistants Paige Savage and Hannah West, delve into the critical issue of vascular occlusions in the field of medical aesthetics. They explain what vascular occlusions are, the protocols for treating them, and the importance of being prepared with the right materials, such as hyaluronidase. The discussion also highlights real-life experiences, including a case study showcasing the steps and teamwork required to manage such an event effectively. Additionally, they underscore the importance of patient awareness and the crucial questions one should ask before undergoing filler treatments to ensure safety and preparedness in case of emergencies.

Full show notes & chapters

Vascular occlusion is a serious complication that can occur during filler injections, leading to tissue damage and scarring.

Using dissolvable fillers and having access to hyaluronidase are crucial in minimizing the risk and treating occlusions.

Having a well-prepared clinic with the necessary tools, protocols, and a network of professionals is essential for patient safety.

Patients should ask their providers about the type of filler used, the availability of hyaluronidase, and the support they can expect in case of complications.

Chapters
  • 00:00 Introduction to MedSpa Mayhem
  • 01:17 Meet the Team: Dr. Kate Dee, Paige Savage, and Hannah West
  • 02:51 Understanding Vascular Occlusion
  • 04:58 Preventative Measures and Tools
  • 10:51 Real-Life Case: Handling a Vascular Occlusion
  • 17:52 The Importance of Preparedness
  • 22:00 Final Thoughts and Takeaways
  • 23:30 Closing Remarks and Listener Engagement
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September 11, 2024  ·  53:50

Hair Loss Therapy with Dr. Christopher Rex

Dr. Kate Dee is joined by board-certified dermatologist Dr. Christopher Rex to discuss comprehensive hair loss therapy. Dr. Rex shares his diverse background, experience in low-income clinics, and the journey to founding Peak Dermatology in Arizona. They delve into various aspects of hair loss treatments, the importance of timely intervention, and the effectiveness of different therapeutic approaches such as PRP, TEDS, and CareFactor. They also address the psychological impact of hair loss and the nuances of treating different types of alopecia. The conversation emphasizes the need for personalized and patient-centered care in dermatology.

Full show notes & chapters

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

Hair loss should be taken seriously and treated as early as possible to prevent further damage to hair follicles.

A comprehensive diagnostic process is necessary to determine the type of hair loss and develop an appropriate treatment plan.

Treatment options for hair loss include supplements, medications like spironolactone and finasteride, and procedures like PRP.

A personalized approach to hair loss therapy, considering individual factors and preferences, is important for successful outcomes. Hair loss treatment requires a comprehensive approach, including nutrition, topical treatments, and procedures.

PRP, KeraLase, and TEDs are effective treatments for hair loss.

Ongoing maintenance is necessary to maintain hair growth and prevent further loss.

Finding a trusted provider who listens and educates is crucial for successful hair loss treatment.

Chapters
  • 00:00 Introduction and Guest Background
  • 02:36 Journey to Becoming a Dermatologist
  • 04:47 Establishing Practices in California and Arizona
  • 07:25 Introduction to Hair Loss Treatments
  • 13:14 Understanding Hair Loss Types and Diagnoses
  • 25:44 Discussing PRP Procedures and Patient Experiences
  • 28:58 Exploring Alternative Hair Loss Treatments
  • 35:04 The Role of Exosomes in Hair Treatment
  • 40:25 Challenges and Realities of Hair Loss Treatments
  • 47:52 Considering Hair Transplants and Final Thoughts
  • 50:08 Conclusion and Final Advice
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September 4, 2024  ·  42:10

Aesthetics for Men, Medical Tourism and Black Hollywood-- with Dr. Aaron Fletcher

In this episode, Dr. Kate Dee talks with Dr. Aaron Fletcher, a highly accomplished ENT and facial plastic surgeon based in Atlanta, Georgia. They delve into Dr. Fletcher's extensive educational background and training, the rising trend of men seeking aesthetic procedures, and the specific types of treatments that are popular among male patients. The discussion also covers the nuances of performing delicate facial surgeries, the importance of choosing qualified and highly trained surgeons, and the potential pitfalls of medical tourism and unregulated aesthetic practices. Dr. Fletcher offers valuable insights into the complexities and considerations involved in facial plastic surgery, emphasizing the need for patient diligence in selecting a competent healthcare provider.

Full show notes & chapters

Connect with Dr. Aaron Fletcher:

Web: https://www.aaronfletchermd.com/

Instagram: https://www.instagram.com/aaronfletchermd/

Atlanta's reputation as 'Black Hollywood' contributes to the high percentage of men seeking aesthetic services.

The most common procedures for men include rhinoplasty, blepharoplasty, Botox, fillers, and buckle fat removal.

Complications of these procedures can include damage to the facial nerve, asymmetry, hematoma, and accelerated aging of the face.

Proper training and expertise are crucial in the field of aesthetic surgery to ensure patient safety and optimal outcomes. Research and vet cosmetic surgeons thoroughly before undergoing any procedures

Look beyond before and after photos and patient reviews, as they can be misleading

Be cautious of medical tourism and the potential risks associated with seeking cosmetic procedures in other countries

Choose a surgeon with expertise in nose surgeries, as they are delicate procedures

Gather information and do your due diligence before making any decisions

Chapters
  • 00:00 Meet Dr. Aaron Fletcher: A Journey in Medicine
  • 02:38 The Rise of Male Aesthetic Procedures
  • 06:09 Popular Aesthetic Procedures for Men
  • 07:17 The Art and Risks of Buccal Fat Removal
  • 11:22 The Importance of Expertise in Cosmetic Surgery
  • 19:05 The Wild West of Cosmetic Surgery
  • 19:53 Researching Your Surgeon
  • 20:58 The Atlanta Cosmetic Surgery Scene
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August 28, 2024  ·  24:35

Indictment in Oklahoma

In this episode, host Dr. Kate Dee discusses two significant legal cases in Oklahoma's med spa industry with journalist Jazz Wolfe. The first case involves Kay Sanders, a nurse who illegally imported Botox from Canada and practiced without proper medical supervision. The second case concerns Dr. Darter, whose lack of oversight at Pure Derma Med Spa led to severe patient injuries. Both cases highlight the importance of verifying medical licenses and the legitimacy of practices to ensure safe and legal aesthetic treatments.

Full show notes & chapters

The Frontier article: “In Oklahoma, laws haven’t kept up with trendy medical spa treatments,” by Jazz Wolfe

Always check the license and medical director of a medical practitioner before seeking treatment.

Importing and using illegal products for medical treatments can have serious consequences for patients.

Complaints and disciplinary actions against medical practitioners should be taken seriously.

Lack of enforcement and accountability in the medical spa industry can put patients at risk.

Chapters
  • 00:00 Introduction
  • 02:14 Case 1: The Story of Kaye Sanders
  • 04:27 Illegal Practices and Consequences
  • 15:06 Case 2: Dr. Darter and Pure Derma Med Spa
  • 20:51 Lessons and Final Thoughts
  • 21:47 Closing Remarks and Contact Information
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August 21, 2024  ·  39:55

The Skinny on Ozempic– What you need to know about Medical Weight Loss with Dr. Judy Rubin

Is Ozempic for you? Dr. Kate Dee and Dr. Judy Rubin discuss the use of Ozempic and other weight loss drugs. They cover the importance of a medical examination before starting these medications, the potential side effects, and the need for proper monitoring. They also discuss the different drugs available and their mechanisms of action. The conversation highlights the success of these drugs in helping patients lose weight and improve their overall health. However, they caution against purchasing these drugs from unauthorized sources, as there are risks associated with counterfeit and unregulated products.

Full show notes & chapters

About Dr. Judy Rubin

Nouveau Medspas in Gig Harbor, WA

A medical examination is necessary before starting weight loss drugs to identify contraindications and ensure patient safety.

Ozempic and similar drugs work by decreasing appetite, increasing insulin production, and causing early satiety.

These drugs have been successful in helping patients lose weight, improve insulin resistance, lower blood sugar, and reduce cravings for alcohol and unhealthy foods.

It is important to obtain these drugs from authorized sources, as counterfeit and unregulated products can be dangerous.

Proper monitoring and follow-up with a qualified healthcare provider are essential to manage side effects and ensure the effectiveness of the treatment.

Chapters
  • 00:00 Introduction to Semaglutide
  • 01:19 Discussion on Ozempic and Medical Weight Loss
  • 03:39 The Importance of Medical Examination
  • 05:14 Mechanism and Effects of Weight Loss Drugs
  • 06:24 Patient Experiences and Results
  • 08:33 Practical Aspects of Administering Semaglutide
  • 11:30 Side Effects and Safety Concerns
  • 16:40 Thyroid and Gastroparesis Concerns
  • 18:51 Understanding Gastroparesis and Ozempic
  • 20:14 Types of Diabetes Explained
  • 22:21 The Popularity and Demand for Weight Loss Drugs
  • 23:47 Compounding Pharmacies and FDA Regulations
  • 25:50 Risks of Buying Medications Online
  • 30:08 Pricing and Accessibility of Ozempic
  • 33:49 Ensuring Safe Medical Practices
  • 36:45 Final Thoughts and Recommendations
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August 14, 2024  ·  47:00

All About Dermal Fillers with Dr. Dahlia Rice

In this episode of MedSpa Mayhem, Dr. Kate Dee interviews Dr. Dahlia Rice, a board certified plastic surgeon from Chicago. They discuss various aspects of dermal fillers including the types of fillers, techniques, potential complications, and corrective measures. Dr. Rice emphasizes the importance of choosing a qualified injector to ensure safety and satisfactory aesthetic results. They also delve into the differences between plastic surgeons and cosmetic surgeons and highlight the necessity of ongoing patient education.

Full show notes & chapters

Links

Dr. Rice at DMR Aesthetics in Chicago: https://www.dmraesthetics.com

Dr. Rice on Instagram: https://www.instagram.com/dr.dahlia.rice/

Go to a board-certified plastic surgeon for plastic surgery procedures

Dermal fillers can be used for volume replacement and in reconstructive surgery

Focus on the mid-face and lip region when using dermal fillers

Complications of dermal fillers include overfilling, asymmetry, delayed onset nodules, and skin necrosis

Ultrasound-guided techniques can be used to dissolve hyaluronic acid fillers

Be patient and understand that achieving desired results may take time

Natural results and subtle enhancements are becoming more popular in facial fillers.

Avoid non-dissolvable fillers

Researching the injector, checking for proper credentials, and asking about product sourcing are important when selecting a provider. Choosing a provider who aligns with your aesthetic preferences is crucial.

Open communication and trust between the patient and provider are essential for a successful outcome.

Chapters
  • 00:00 Welcome to Season Two of MedSpa Mayhem
  • 02:07 Meet Dr. Dahlia Rice: A Journey in Plastic Surgery
  • 02:49 Understanding Dermal Fillers: Uses and Practices
  • 03:50 Plastic Surgeon vs. Cosmetic Surgeon: Key Differences
  • 05:49 The Art and Science of Dermal Fillers
  • 10:20 Complications and Risks of Dermal Fillers
  • 16:19 Addressing Filler Complications: Real Cases and Solutions
  • 23:18 The Shift Towards Natural Aesthetics
  • 24:17 Choosing the Right Injector
  • 26:12 Ethics and Overfilling in the Industry
  • 28:12 Understanding Permanent
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August 7, 2024  ·  1:03:03

RF Microneedling: The Ultimate Anti-Aging Treatment

In this episode of Med Spa Mayhem, Dr. Kate Dee welcomes Dr. Judith Borger to discuss their mutual favorite aesthetic treatment: RF microneedling. They delve into why this treatment has become so popular, likening it to 'the Taylor Swift of aesthetics'. The episode covers how RF microneedling works, how it compares to traditional microneedling, and why it is effective for stimulating collagen and elastin production. They also touch on patient experiences, pre- and post-treatment care, and potential complications. Both doctors emphasize the importance of good technique and selecting a qualified provider for the best results.

Full show notes & chapters

Podcast info

Dr. Borger on The Aesthetic Doctor

RF microneedling involves using tiny needles to deliver controlled radiofrequency energy to the skin, stimulating collagen and elastin production and tightening the skin and improving overall skin quality and elasticity.

Sculptra is a bio-stimulator that adds volume and stimulates collagen production.

Good aftercare, including the use of post-procedure products and sun protection, is important for optimal results.

It is crucial to choose a licensed provider who uses approved devices and follows proper technique.

Chapters
  • 00:00 Introduction to RF Microneedling
  • 01:10 Welcome to Med Spa Mayhem Season 2
  • 02:22 Interview with Dr. Judith Borger
  • 03:26 Understanding Collagen and Elastin
  • 06:37 RF Microneedling Explained
  • 12:41 Comparing Microneedling Techniques
  • 19:16 Patient Selection and Treatment Guidelines
  • 24:06 Sculptra and Collagen Stimulation
  • 30:06 Combining Treatments for Optimal Results
  • 34:59 Introduction to RF Microneedling Experience
  • 35:22 Patient Preparation and Numbing Process
  • 36:36 Importance of Treating Face and Neck Together
  • 38:44 Pain Management During RF Microneedling
  • 42:05 Post-Procedure Care and Recommendations
  • 47:12 Combining RF Microneedling with Topicals
  • 52:21 Potential Complications and Safety Measures
  • 59:04 Conclusion and Final Thoughts
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July 31, 2024  ·  49:04

Unveiling Medspa Mayhem: Dr. Dee's Journey into the Aesthetic Industry

The tables are turned today as Dr. Judith Borger interviews Dr. Kate Dee, owner of Glow Med Spa in Seattle and author of the newly released book 'Med Spa Mayhem'. They discuss Dr. Dee's accidental yet fulfilling journey into the aesthetics industry, the impetus behind writing her book, and the critical need for consumer education in an unregulated market. Highlighting the good, bad, and ugly facets of the industry, the book aims to arm consumers with the knowledge they need to make safe, informed decisions. Alongside discussing personal anecdotes and notable industry malpractice cases, the episode underscores the risks involved with illegal and unlicensed cosmetic procedures, emphasizing the importance of asking the right questions to ensure safety. Both practitioners aim to shine a light on these issues with hopes for future industry regulation.

Full show notes & chapters

Podcast info

Dr. Borger on The Aesthetic Doctor

Chapters
  • 00:00 Introduction
  • 01:16 Meet Dr. Kate Dee and Her Book
  • 01:59 Behind the Scenes of the Aesthetics Industry
  • 03:40 The Journey of Writing Med Spa Mayhem
  • 04:41 Legal and Ethical Concerns in Aesthetics
  • 05:56 Educating Consumers and Changing the Industry
  • 07:46 Real-Life Examples and Industry Challenges
  • 11:51 The Importance of Proper Credentials
  • 22:33 Misleading Titles and Legal Implications
  • 25:38 Prosecution and Legal Loopholes
  • 26:12 Consumer Awareness and Safety
  • 27:09 Illegal Practices and Their Consequences
  • 28:50 The Cost of Cutting Corners
  • 30:31 The Reality of Discounted Procedures
  • 31:54 Fake Botox and Health Risks
  • 32:43 The Importance of Legitimate Products
  • 34:31 Ethics in Aesthetic Medicine
  • 38:26 The Future of the Aesthetic Industry
  • 41:44 Favorite Procedures and Personal Insights
  • 44:12 Conclusion and Final Thoughts
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July 17, 2024  ·  49:40

Medical Fraud: Stem Cell Scam, NDA’s and More!

In this episode, Dr. Kate Dee and regulatory attorney Becky Hsiao delve into two significant medical fraud cases in Washington state. The first case involves Dr. Tami, a Seattle-based doctor who was fined $500,000 for selling unproven stem cell treatments for various diseases, including COVID-19. The second case revisits Dr. Sajan, a cosmetic surgeon who was fined $5 million for a range of fraudulent activities, including forcing patients to sign NDAs, posting fake reviews, and doctoring before and after photos. Becky provides legal insights into these cases, highlighting the importance of consumer protection and the complexities of medical advertising.

Full show notes & chapters

More on Dr. Dee

Podcast info

Stem cell clinics offering unproven treatments are scams and should be avoided.

Patients should be cautious of false claims made by medical practitioners and seek evidence-based treatments.

Board certification is an important indicator of a doctor's qualifications and expertise.

Transparency and honesty are crucial in medical practices, especially when offering experimental treatments.

Patients should be aware of their rights and be informed consumers of healthcare services. Research providers' credentials and the medical director's presence before undergoing any treatments.

Be cautious of medical professionals making false claims and advertising unproven treatments.

Stem cell treatments are still experimental and should be approached with caution.

Skincare products claiming to contain stem cells, especially from plants, are often misleading and ineffective.

Consult reputable sources and medical professionals for accurate information on treatments and skincare.

Chapters
  • 00:00 Introduction to Medical Fraud Cases
  • 00:15 Case 1: The Stem Cell Scam
  • 00:51 Legal Insights with Becky Hsiao
  • 05:21 Understanding Stem Cells
  • 08:42 The Reality of Stem Cell Treatments
  • 18:28 Dr. Tami’s Background and Legal Issues
  • 25:02 The Illusion of Certification Courses
  • 25:57 Compliance and Legal Certifications
  • 26:50 The Truth About Cosmetic Surgery Titles
  • 27:35 Dr. Tami's New Med Spa and Ativa Skin Tightening
  • 28:40 The Reality of RF Heating Devices
  • 31:54 Legal Implications and Consumer Fraud
  • 34:55 Dr. Sajan's Case and Settlement Wrap Up
  • 43:11 The Misleading World of
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July 10, 2024  ·  54:29

Cosmetic Complications in the ER with Nadia Nabavi

Dr. Kate Dee interviews ER physician Nadia Nabavi to explore the critical issues surrounding med spa complications and cosmetic procedures. They discuss the recent rise in botulism cases due to fake Botox, the risks associated with filler complications, and two gripping cases of liposuction gone wrong. Additionally, Nadia introduces her innovative company, Green Dot, which aims to revolutionize acute care by providing 24/7 access to board-certified emergency physicians.

Full show notes & chapters

Check out Green Dot Health

Complications from cosmetic procedures can be seen in the ER, and it is important to choose qualified providers who prioritize patient safety.

Fake Botox can lead to botulism, which presents with symptoms such as drooping eyelids, double vision, and difficulty swallowing.

Filler complications, such as occlusions, require immediate treatment with hyaluronidase and most ERs are not equipped to treat them.

Liposuction complications can include over-sedation, aspiration, and infected seromas, highlighting the importance of proper anesthesia and post-operative care.

Patients should research and choose providers who are licensed, trained, and experienced in the specific procedures they are seeking. Physicians should consider the holistic well-being of their patients and provide thorough explanations and education about procedures.

Effective communication and clear explanations are crucial in ensuring patient understanding and satisfaction.

Green Dot, a virtual concierge acute care practice, aims to improve access to healthcare and reduce costs by providing personalized and direct care from board-certified emergency physicians.

The Green Dot model emphasizes relationship building, education, empowerment, and access to ensure patients receive the care they need when they need it.

Chapters
  • 00:00 Introduction and Guest Background
  • 01:39 Med Spa Complications in the ER
  • 02:03 Botulism from Fake Botox
  • 04:53 Identifying and Treating Botulism
  • 07:08 Fake Botox and Legal Concerns
  • 14:58 Filler Complications and ER Preparedness
  • 22:38 Liposuction Complications
  • 31:18 A Cautionary Tale of Liposuction
  • 33:34 The Importance of Patient Communication
  • 36:24 The Dimple Doctor Incident
  • 41:25 Introducing Green Dot: Revolutionizing Urgent Care
  • 44:36 How Green Dot Works
  • 49:13 Final Thoughts
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July 3, 2024  ·  43:56

Choosing the Right Aesthetic Provider: Insights from Dr. Kristen Jacobs

In this episode, Dr. Kate Dee interviews Dr. Kristen Jacobs, an experienced aesthetic medicine doctor and trainer, about the nuances of aesthetic practice and how to choose a qualified provider. Dr. Jacobs shares her personal journey into aesthetics, the importance of ongoing training, and the risks associated with poorly trained practitioners. They discuss the critical points patients should consider, such as verifying the provider's background, understanding the limitations of certain practitioners, and always ensuring that the provider is operating within legal and medical standards. The conversation emphasizes safety, proper training, and the importance of being an informed patient in the growing field of aesthetic medicine.

Full show notes & chapters

Visit Dr. Jacobs Aesthetic Resource and Training website

Choosing an aesthetic provider based on price is not recommended as it may indicate the use of fake products or lack of proper training.

Proper training and experience are crucial for safe and effective aesthetic treatments.

Unlicensed practitioners do not have the necessary medical training and knowledge to perform aesthetic procedures safely.

Having a medical director who is actively involved in the practice is important for proper supervision and patient safety.

Following the rules and regulations in the aesthetic industry is essential to ensure ethical and safe practices. Proper training and education are crucial for aesthetic providers to ensure safe and effective treatments.

Ongoing learning and staying up-to-date with the latest techniques and safety protocols are essential for providers to deliver optimal results.

Choosing a provider with artistic ability and a deep understanding of facial anatomy is important for achieving natural-looking outcomes.

Individuals should do their due diligence when selecting a provider, considering their training, experience, and commitment to patient safety.

Prioritizing safety and well-being is paramount when seeking aesthetic treatments.

Chapters
  • 00:00 Introduction and Guest Introduction
  • 02:15 Dr. Kristen Jacobs' Journey into Aesthetics
  • 05:35 Choosing the Right Aesthetic Provider
  • 13:50 The Dangers of Unlicensed Providers
  • 21:57 The Importance of Backup in Medical Practice
  • 22:35 Identifying Illegal Practitioners
  • 23:26 Training and Experience in Aesthetic Medicine
  • 26:10 Variability in Training Quality
  • 34:13 Choosing the Right Provider
  • 39:20 Concluding Thoughts and Resources
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June 26, 2024  ·  49:36

Can a Facial be Dangerous? Unveiling Hidden Risks with Elizabeth Gersten

Dr. Kate Dee hosts Elizabeth Gersten, a licensed esthetician for over 29 years.' Elizabeth recounts various unsafe and unhygienic practices in spas, including bribing inspectors, reusing contaminated products, and lack of proper training among staff. The discussion highlights the importance of proper training, licensing, and adherence to sanitation protocols. They also delve into differences in esthetician licensing regulations between states, potential dangers of unlicensed practices, and the pitfalls of cutting corners in spa treatments.

Full show notes & chapters

Aesthetician education is important for the safety of spa treatments

Aesthetician licenses allow spa treatments like facials and dermaplaning

Aestheticians may complete an advanced training and licensure in only a few states, allowing them to do some laser treatments and microneedling. In most states this is illegal.

Even Spa Treatments can be unsanitary and harmful. Make sure your spa and the aestheticians working there are licensed and certified.

Chapters
  • 00:00 Shocking Spa Secrets Revealed
  • 00:21 Meet the Expert: Elizabeth Gersten
  • 01:53 Aesthetic Services and Career Journey
  • 04:06 Changes in Aesthetic Education
  • 07:19 The Importance of Proper Training
  • 09:01 Hygiene Horrors in High-End Spas
  • 09:42 Understanding Hydrotherapy and Sanitation
  • 12:37 Regulations and Licensing Issues
  • 21:27 Risks of Inadequate Training and Equipment
  • 23:20 Illegal Hyaluron Pen Treatments
  • 23:58 Risks of Unregulated Microneedling
  • 26:13 Sanitation Failures in Spas
  • 28:35 Importance of Sterile Techniques
  • 31:11 Complications from Facials and Peels
  • 34:05 Dangers of Non-Medical Grade Products
  • 38:54 Lack of Regulation and Inspections
  • 44:12 Final Thoughts and Consumer Advice
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June 19, 2024  ·  47:53

Navigating Facial Plastic Surgery: with Dr. Troy Woodman

Dr. Kate Dee interviews Dr. Troy Woodman to discuss various aspects of facial plastic surgery, including proper consultation procedures and safety standards. The episode opens with a harrowing story about a patient receiving surgery under suboptimal conditions, highlighting the importance of choosing a qualified surgeon and understanding the standard of care. Dr. Woodman shares his extensive experience in oculofacial plastic and reconstructive surgery, offering insights into how patients can ensure they are in safe hands.

Full show notes & chapters

Music by Scott Holmes

Medspa Mayhem ™ pending, Copyright 2024 Dr. Kate Dee, all rights reserved

Chapters
  • 00:00 Shocking Med Spa Surgery Story
  • 01:25 Introduction to Dr. Troy Woodman
  • 01:41 Dr. Woodman's Background and Expertise
  • 02:46 Scope of Dr. Woodman's Practice
  • 04:35 Patient's Horrific Experience
  • 07:00 Legal and Ethical Concerns in Cosmetic Surgery
  • 10:05 Importance of Proper Surgical Procedures
  • 13:01 Consultation Process and Patient Responsibility
  • 27:39 The Art of Facelifts: Techniques and Timeframes
  • 28:02 Surgeon Skills and Speed: A Personal Perspective
  • 30:04 Pricing in Aesthetic Medicine: A Surprising Revelation
  • 32:13 The Pain and Ethics of Local Anesthetic
  • 32:48 The Rise and Fall of Lifestyle Lift
  • 35:51 The Importance of Board Certification and Experience
  • 39:05 Managing Surgical Complications: A Critical Skill
  • 44:11 Final Thoughts: Choosing the Right Surgeon
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June 12, 2024  ·  41:02

What is the Good Faith Exam?

In this episode, Dr. Kate Dee discusses the importance of good faith exams and their role in ensuring patient safety in medical spas. Joined by Polina Riedler, RN and co-founder of Spakinect, the conversation covers how her company provides virtual good faith exams across the country, ensuring compliance with state regulations. They delve into the framework of these exams, explain who is qualified to conduct them, and why they are necessary for any medical procedure, including IV therapies. The episode highlights real-world impacts, such as the tragic case in Texas, and stresses the importance of proper oversight to prevent similar incidents. They also talk about the legal challenges and compliance requirements in the med spa industry, and the necessity of working with reputable companies to avoid cutting corners. Listeners gain insights into how to identify legal and safe practices when seeking aesthetic treatments.

Full show notes & chapters

A good faith exam must be performed before any medical procedure, including botox, IV therapy and lasers

Good faith exams are required in every state

Good faith exams must be performed by a doctor, a PA or an NP

Good Faith Exams consist of a consultation, assessment, diagnosis and treatment plan

Nurses cannot perform Good Faith Exams

Unlicensed people cannot practice medicine, cannot perform good faith exams and cannot legally provide any of these treatments

Chapters
  • 00:00 Introduction
  • 01:03 Understanding Good Faith Exams
  • 01:36 Interview with Polina Redler
  • 04:11 Role of RNs in Med Spas
  • 05:35 Compliance and Legalities in Med Spas
  • 17:11 IV Therapy and Its Risks
  • 23:27 Ensuring Safety in Med Spas
  • 37:56 Conclusion and Upcoming Episodes
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June 5, 2024  ·  43:16

Cosmetic Surgeon Gets In Trouble

Dr. Kate Dee and attorney Becky Hsiao discuss a civil lawsuit filed against a cosmetic surgeon in Seattle for violating the law by requiring patients to sign illegal nondisclosure agreements. The lawsuit also includes claims of intimidating and bribing patients to remove negative reviews, posting fake positive reviews, and altering before and after photos. They explore the legality of offering free services in exchange for removing bad reviews and the difference between plastic surgeons, facial plastic surgeons, oculoplastic surgeons, and cosmetic surgeons. They also discuss the use of fake awards and organizations to falsely advertise as a plastic surgeon. In this conversation, Becky and Dr. Kate discuss the challenges consumers face in distinguishing between cosmetic surgeons and plastic surgeons. They highlight the misleading practices of some cosmetic surgeons and the lack of regulation in the industry. They also discuss the importance of consumer education and advocacy in protecting oneself from potential harm. The conversation emphasizes the need for consumers to do thorough research, seek multiple opinions, and report any fraudulent or dangerous practices to relevant authorities.

Full show notes & chapters

A cosmetic surgeon in Seattle is facing a civil lawsuit for violating the law by requiring patients to sign illegal nondisclosure agreements.

The lawsuit also includes claims of intimidating and bribing patients to remove negative reviews, posting fake positive reviews, and altering before and after photos.

Offering free services in exchange for removing bad reviews may be considered false and misleading advertising.

There is a difference between plastic surgeons, facial plastic surgeons, oculoplastic surgeons, and cosmetic surgeons, with varying levels of training and expertise.

Some cosmetic surgeons use fake awards and organizations to falsely advertise as plastic surgeons. Consumers face challenges in distinguishing between cosmetic surgeons and plastic surgeons, and some cosmetic surgeons engage in misleading practices.

The cosmetic surgery industry lacks proper regulation, making it difficult for consumers to make informed decisions.

Consumer education and advocacy are crucial in protecting oneself from potential harm in the cosmetic surgery industry.

Consumers should do thorough research, seek multiple opinions, and report any fraudulent or dangerous practices to relevant authorities.

Chapters
  • 00:00 Introduction and Lawsuit Overview
  • 04:31 Illegal Practices and Partial Summary Judgment
  • 09:28 Threatening and Bribing Patients, Fake Reviews, and Altered Photos
  • 12:45 Differentiating Between Plastic Surgeons and Cosmetic Surgeons
  • 21:20 The Challenge of Distinguishing Between Cosmetic Surgeons and Plastic Surgeons
  • 25:03 The Importance of Consumer Education and Advocacy
  • 29:40 Protecting Yourself: Thorough Research and Reporting
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May 29, 2024  ·  1:06:24

The Dangers of Unlicensed Illegal Med Spas: the Bea Amma story

Bea Amma shares her experience at an unlicensed medical spa in California where she received illegal and dangerous treatments. She was injected with a combination of B12 and deoxycholic acid, which is a fat dissolver, all over her body. After the injections, she experienced severe symptoms, including fever, nodules under her skin, and open flesh wounds. She was diagnosed with a mycobacterium infection and spent over three months in the hospital. The person who performed the injections was practicing medicine illegally and had no medical knowledge or qualifications. Despite media coverage and complaints to the authorities, no legal action has been taken against the person responsible. The conversation highlights the lack of enforcement in the aesthetics industry, leading to illegal and unsafe practices. It discusses the importance of having a medical director attached to a med spa and the need for proper credentials and qualifications for practitioners. The conversation also emphasizes the need for consumers to ask the right questions and do thorough research before undergoing any cosmetic procedures.

Full show notes & chapters

Beyond Skin Deep with Bea

Beware of dangerous medical treatments at unlicensed facilities.

Research and ask questions about the qualifications and credentials of the person performing the treatments.

Illegal and dangerous treatments can have severe and long-lasting consequences.

Report any illegal medical practices to the appropriate authorities.

Lack of insurance coverage can make it difficult to seek legal recourse in cases of medical malpractice. The aesthetics industry lacks proper regulation and enforcement, leading to illegal and unsafe practices.

Having a medical director attached to a med spa is crucial for ensuring safety and proper practices.

Consumers need to ask the right questions and do thorough research before undergoing any cosmetic procedures.

Chapters
  • 00:00 Introduction and Background
  • 05:04 Symptoms and Hospitalization
  • 21:08 Investigation and Lack of Consequences
  • 31:30 Legal Challenges and Lack of Insurance
  • 35:10 Stricter Regulations and Enforcement: Protecting Consumers from Fraudulent Practices
  • 38:52 The Issue of Cosmetic Surgeons Operating Without Proper Credentials
  • 40:34 The Dangers of Unqualified Practitioners and Illegal Practices
  • 43:55 The Consequences of Unregulated IV Drip Clinics
  • 57:13 Living with the Consequences and Spreading Awareness
  • 01:00:30 Closing Thoughts: Taking a Pause and Doing Research
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May 22, 2024  ·  51:45

Disfigured Beauty - Dermal Filler Disaster

Krysta Carson, also known as Disfigured Beauty, shares her traumatic experience with dermal filler that led to disfigurement. She had been getting filler injections for five years without any issues until the last injection in 2020. After the injection, she experienced numbness and tingling on the left side of her face, which worsened over time. Her face turned black, blistered, and eventually, a portion of her nose fell off. Krista now uses prosthetics to cover the disfigurement. In this conversation, Dr. Kate Dee and Krysta Carson discuss the complications Krysta experienced after receiving a filler injection. They talk about the specific filler used, Radiesse, and its risks. Dr. Kate explains the importance of using dissolvable fillers and having the necessary tools and knowledge to treat complications like vascular occlusion. They also discuss the lack of proper informed consent and the challenges of malpractice lawsuits. The conversation highlights the need for patients to choose qualified and knowledgeable injectors.

Full show notes & chapters

Connect with Krysta on Disfigured Beauty

Read the Daily Mail article (warning: graphic images)

Dermal filler injections can have severe complications, including vascular occlusion, which requires prompt and appropriate treatment. This complication can lead to scarring and disfigurement.

Reconstructive surgery or prosthetics may be necessary to address the disfigurement caused by dermal filler complications.

Using dissolvable fillers, like hyaluronic acid fillers, is important to minimize the risk of complications like vascular occlusion.

Proper informed consent should include a thorough discussion of the risks and potential complications of filler injections.

Choosing a qualified and knowledgeable injector is crucial to ensure safe and effective treatment.

Malpractice lawsuits for filler complications can be challenging to win due to the difficulty of proving a violation of the standard of care.

The aesthetics industry lacks regulation and enforcement, making it important for patients to be informed and advocate for their own safety.

Chapters
  • 00:00 Introduction: Krysta Carson's Experience with Dermal Filler
  • 01:09 Choosing the Doctor and Clinic for Dermal Filler Injections
  • 05:46 Treatment Attempts and the Loss of a Portion of the Nose
  • 21:56 Finding Hope and Confidence with Prosthetics
  • 22:44 Complications and the Need for Specialized Treatment
  • 24:06 Understanding Radiesse and Vascular Occlusion
  • 25:29 The Importance of Informed Consent and Injector Preparedness
  • 29:14 The Impact of Complications on Personal and Professional Life
  • 43:03 Challenges of Pursuing a Malpractice Lawsuit
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May 15, 2024  ·  44:10

Med Spa Law 101 with Brad Adatto

In this episode of Med Spa Mayhem, Dr. Kate Dee interviews Brad Adatto, a healthcare attorney, about the basics of med spa law. They discuss the definition of a med spa and what constitutes the practice of medicine. They also explore who can practice medicine and who can inject Botox or perform medical procedures. The conversation touches on the concept of corporate practice of medicine (CPOM) and the use of Management Service Organizations (MSOs) in the med spa industry. They highlight the importance of understanding the law so you don’t fall victim to illegal practices, which have become so common in the US.

Full show notes & chapters

Med spa law is complex and varies by state, but in every state the practice of medicine is highly regulated.

The practice of medicine includes any procedure that affects living tissue, such as freezing fat, burning fat, piercing the skin, or providing a diagnosis and treatment plan.

Physicians are typically the only ones allowed to practice medicine independently, but they can delegate certain services to other healthcare professionals, such as physician assistants and nurse practitioners.

Corporate practice of medicine (CPOM) laws prohibit corporations from employing doctors, and the specific regulations vary by state.

Management Service Organizations (MSOs) can be used in the med spa industry to handle the business side of the practice while ensuring that medical decisions are made by licensed professionals.

Enforcement of med spa laws varies by state, but unauthorized practice of medicine is typically a felony and can lead to arrests and legal consequences.

Consumers should research and ask questions about the credentials and compliance of med spas before receiving any treatments to ensure their safety.

Chapters
  • 00:00 Introduction and Background of Brad Adatto
  • 07:01 Hierarchy of Healthcare Professionals in Med Spas
  • 08:55 Case Study: Patient's Death in a Med Spa
  • 13:51 Understanding the Corporate Practice of Medicine
  • 18:34 Unauthorized Practice of Medicine
  • 20:33 False Advertising in Medical Spas
  • 23:09 Management Service Organizations (MSOs)
  • 28:40 Enforcement of Laws and Regulations
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May 8, 2024  ·  44:32

Google and SEO Sabotage

In this conversation, Dr. Kate Dee and Joe Amaral discuss the topics of SEO and SEM, specifically focusing on Google and its algorithms. They explain the difference between organic search and paid search, as well as how Google determines authority and ranks websites. They also discuss the challenges of AI-generated content and the constant changes in Google's algorithm. Joe Amaral highlights the benefits and drawbacks of using paid ads, including the potential for deceptive practices. They also touch on the topic of SEO sabotage, where competitors use toxic backlinks to negatively impact a website's search rankings.

Full show notes & chapters

Medspa Mayhem Book Preorder: click here

Medspa Mayhem web site

Google's search engine results page (SERP) displays both organic search results and paid ads, which can be identified by the 'sponsored' label.

Organic search results are determined by Google's complex algorithm, which considers factors like authority and relevance.

Paid ads can be a useful tool for businesses to gain exposure and reach their target audience, but they can also be used in deceptive ways.

Google's algorithm is constantly evolving, and it can be challenging to keep up with the changes and ensure high search rankings.

SEO sabotage is a malicious tactic where competitors use toxic backlinks to negatively impact a website's search rankings.

It is important for consumers to be discerning when evaluating search results and to do their homework before choosing a service provider in the aesthetics industry.

Chapters
  • 00:00 Introduction and Background
  • 07:02 The Importance of Organic Search for Consumers
  • 14:22 The Benefits and Drawbacks of Paid Ads
  • 29:32 SEO Sabotage
  • 37:27 The Role of Education
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May 1, 2024  ·  38:08

Fake Botox "Faux-Tox" in the News

Dr. Kate Dee and Becky Hsiao discuss the recent headlines about fake Botox - “faux-tox” - sending patients to the hospital and the regulatory aspects of medical devices and pharmaceuticals. Becky, a regulatory attorney, explains the complexities of ensuring the safety and effectiveness of drugs and devices. Fake Botox cases have been reported in multiple states, causing harm to patients.. It is important to be cautious and seek treatment from licensed professionals. Counterfeit Botox is easily available online, with websites like Alibaba selling fake products.

Full show notes

The conversation discusses the high cost of Botox treatments and the prevalence of counterfeit and illegally imported Botox. Counterfeit products may contain higher concentrations of toxins than expected and can be dangerous, leading to botulism. Illegally imported products may have unknown storage conditions and expiration dates, posing safety risks.

Medspa Mayhem Book Preorder: click here

Medspa Mayhem web site

Fake Botox has been making headlines recently, with many people being sickened with botulism. The incidents have been covered in the news, raising awareness about the dangers of fake Botox.

It is important to be cautious and seek treatment from licensed professionals. Counterfeit Botox is readily available online, with websites like Alibaba selling fake products.

Detecting counterfeit Botox can be challenging, as the packaging and colors may resemble the real product.

Counterfeit products may contain higher concentrations of toxins than expected and can be dangerous, leading to botulism.

Illegally imported products may have unknown storage conditions and expiration dates, posing safety risks.

There is limited recourse for individuals who experience issues with their treatment using these products. There are instances where Botox is illegally imported or purchased

This practice is not legal and can lead to complications. People buy fake Botox because it is cheaper than the real product.

Botulism is a rare but serious illness caused by the bacteria Clostridium botulinum. It can paralyze the muscles in the body, including the diaphragm, leading to respiratory failure and death.Symptoms of botulism include heavy eyelids, difficulty speaking and swallowing, and muscle weakness.

Choose a qualified provider for cosmetic procedures

Ensure the provider is operating legally

Confirm the type of toxin being used. Check the vial for English labeling and holograms

The FDA-approved toxins in the United States are Botox, Dysport, Jeuveau, Daxxify, and Xeomin Pricing in the aesth

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April 24, 2024  ·  42:37

Medspa Terminology 101 - Part 2 - Skin Care and Procedures

In Part 2 of our conversation about medspa terminology, Dr. Kate Dee and Dr. Desiree Otto discuss various common terms related to skincare and aesthetic treatments. They cover topics such as dermal fillers, including the difference between Botox and filler, common filler complications like duck lips and pillow face, the use of hyaluronic acid in fillers, and the role of growth factors and exosomes in skincare. They also explain the difference between retinol and tretinoin, discuss the terms comedogenic and non-comedogenic, and clarify the meanings of FDA approved and FDA cleared. Other topics include cherry angiomas, spider veins, sunspots, peach fuzz, and seborrheic keratosis.

Full show notes

www.glowspaseattle.com

www.drkatedee.com

Terms Defined

Spider veins

Sun spots

Age spots

Cherries

Barnacles

Peach fuzz

Dermal filler

Duck or ducky lips

Pillow face

Chipmunk cheeks

Hyaluronic acid

HA

Vascular occlusion

Occlusion

VO

Migration

Hyelenex

Laughing gas

Microneedling

RF Microneedling

Ablative laser

Non-ablative laser

IPL

BBL

Coolsculpting

Emsculpt Neo

Hydrafacial

Diamond glow

Dermasweep

Medical Grade skin care

FDA-approved

FDA-cleared

Off-label

Exosomes

Growth Factors

Collagen

Elastin

Anti-aging

Retinol

Tretinoin

Comedogenic

Non-comedogenic

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April 17, 2024  ·  39:13

Medspa Terminology 101 - Part 1 - Toxin

In Part 1, Dr. Kate Dee and Dr. Desiree Otto discuss basic MedSpa terminology as it relates to Botox and Botox treatments. They explain the different neurotoxins available in the US, including Botox, Disport, Xeomin, Daxxi, and Jeuveau. They define terms like 11s, forehead lines, crow's feet, accordion lines, bunny lines, smokers lines, marionette lines, tear trough, gummy smile, and more. They also discuss the concepts of looking frozen, Spock effect, droopy eyebrow, droopy eyelid, and treatments for TMJ and hyperhidrosis.

Full show notes

Links:

www.glowspaseattle.com

www.drkatedee.com

Terms Defined:

Neurotoxin

Toxin

Tox

Botox

Dysport

Xeomin

Daxxi (daxxify)

Jeuveau

11’s

Glabella

Crow’s Feet

Forehead lines

Banana roll

Jelly roll

Tear troughs

Under eye bags

Marionette lines

Bunny lines

Smoker’s lines

Orange peel chin

Accordion lines

Peanut head

Turkey neck

Lid lift

Lip flip

Gummy smile

Frozen

Spock

Droopy Lid

Droopy brow

TMJ

Hyperhidrosis

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April 10, 2024  ·  41:46

Lip Filler: Everything you need to know

Dr. Kate Dee and Dr. Desiree Otto discuss lip filler and its popularity. They explain that people seek lip filler for various reasons, including wanting fuller lips, correcting asymmetry, and restoring volume loss due to aging. They emphasize the importance of achieving a natural look and avoiding the overfilled 'ducky lip' appearance. The doctors also discuss the procedure, including the use of topical anesthetic and the temporary swelling that occurs. They mention that the filler lasts around six to eight months in the lips due to the high blood flow in the area. They also address the importance of realistic expectations and the limitations of changing lip shape. They highlight the importance of choosing the right filler based on the desired outcome, such as volume or plumping. They recommend hyaluronic acid (HA) fillers for their soft and natural-looking results. The conversation also covers potential complications of fillers, including swelling, bruising, migration, and vascular occlusion, and emphasizes the importance of going to a qualified and experienced injector who can properly handle complications and has the necessary resources to treat them.

Full show notes & chapters

Lip filler is sought after for fuller lips, correcting asymmetry, and restoring volume loss due to aging.

Achieving a natural look and avoiding the overfilled 'ducky lip' appearance is crucial.

The procedure involves the use of topical anesthetic and temporary swelling.

Filler in the lips lasts around six to eight months due to the high blood flow in the area.

Realistic expectations are important, as lip shape cannot be drastically changed.

Hyaluronic acid (HA) fillers are recommended for their soft and natural-looking results.

Potential complications of fillers include swelling, bruising, migration, lumps and vascular occlusion.

It is important to go to a qualified and experienced injector who can properly handle complications and has the necessary resources to treat them.

Chapters
  • 00:00 Introduction and Background
  • 01:33 Reasons for Lip Filler
  • 04:01 Desired Lip Size
  • 05:39 Pain and Topical Anesthetic
  • 07:52 Injection Process and Swelling
  • 09:50 Age Restrictions and Realistic Expectations
  • 12:09 Different Lip Shapes
  • 15:05 Ideal Lip Ratio
  • 20:00 Different Types of Fillers
  • 20:28 Preferred Fillers for Lips
  • 21:25 Older Fillers for Lips
  • 22:47 Non-Resorbable Permanent Fillers
  • 23:41 Other Soft and Silky Fillers
  • 24:11 Common Side Effects of Fillers
  • 25:10 Vascular Occlusion
  • 25:38 Complications with Fillers
  • 26:35 Importance of Choosing a Qualified Injector
  • 30:48 Realistic Expectations and Touch-Ups
  • 32:43 Why the Injector's Qualifications Matter
  • 36:16 Treatment of Complications
  • 37:21 Techniques to Avoid Complications
  • 38:38 Personal Experience and Lip Lines
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April 3, 2024  ·  38:37

What's up with Texas?

Dr. Kate Dee and Dr. George Davis discuss the issues surrounding medical aesthetics in Texas. They highlight the lack of regulation and oversight in the industry, particularly in regards to who can perform injections and the use of fake or illegal products. They also discuss the dangers of improper injections and the importance of proper training and knowledge of facial anatomy. The conversation emphasizes the need for national standards and regulations to ensure the safety of patients.

Full show notes & chapters
Chapters
  • 00:00 Introduction 00:39 Texas and Illegal Medical Practice 04:14 Illegal Practices in Texas 05:13 Source of Illegal Products 06:31 Weekend Courses for Injectors 09:10 Experience and Expertise in Injecting 10:05 Dangers of Improper Injections 11:03 Lack of Medical Directors 12:10 Lack of Oversight and Enforcement 14:04 Unlicensed Practitioners 16:37 Lack of Regulation and Policing 20:17 Legislation and Regulation in Texas 23:38 National Standards and Best Practices 25:25 Regulation in Other States 28:07 Lobbying and Industry Influence 31:22 Complications and Risks 32:23 Questions to Ask When Choosing a Provider 36:19 Cost vs. Safety 36:42 Conclusion
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March 27, 2024  ·  41:48

Reviews: Good, Bad and Fake

In this conversation, Dr. Kate Dee and Stephen Moritz discuss the importance of reviews in the medical spa industry and why so many are fake. They focus on Google and Yelp reviews and mention RealSelf as an alternative review platform for plastic surgeons. This conversation explores the limitations and challenges of relying on reviews for evaluating medical spas and doctors.They also touch on other doctor review sites and the importance of credible third-party platforms.The hosts provide insights on identifying fake reviews and the tactics used by competitors or others to write fake bad reviews. The conversation concludes with a call to action for leaving reviews for doctors to support their practices.

Full show notes & chapters

Google reviews are highly prioritized by businesses and customers based on availability, ease of writing a review and trustworthiness.

Yelp's review algorithm is questionable, as it favors reviewers who write a lot of reviews, even if they are negative.

RealSelf is a platform that provides information about plastic surgery procedures and allows users to find and review doctors.

Lots of reviews are fake– sometimes this is impossible to figure out, but there are a few tricks.

Chapters
  • 00:00 Introduction and Focus on Reviews
  • 01:09 Google Business Reviews
  • 04:02 Yelp and Google Reviews Comparison
  • 05:54 Yelp Reviews
  • 23:11 RealSelf
  • 24:17 Other Doctor Review Sites
  • 25:46 Testimonials on Webpages
  • 27:19 Importance of Credible Third-Party Platforms
  • 28:23 Spotting Fake Reviews
  • 31:12 Fake Reviews and Competitors
  • 34:40 Penalties for Fake Reviews
  • 36:48 Personal Attacks and Fake Reviews
  • 37:17 Importance of Leaving Reviews for Doctors
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March 20, 2024  ·  52:48

Groupons, Bait & Switch, and Marketing Shenanigans

Dr. Kate Dee and Stephen Moritz discuss the marketing strategies and challenges in the medical spa industry. They explore the different approaches to marketing, with Dr. Dee focusing on building trust and long-term relationships, while Stephen emphasizes the importance of education and patient satisfaction. They also discuss the pitfalls of Groupon and the dangers of offering cheap Botox. The conversation highlights the significance of customer service and the impact of online reviews on platforms like Yelp and Google. They conclude by discussing the power of Google Ads and the need for honest and transparent advertising in the industry. The conversation covers the dangers of illegal and unsafe procedures, the prevalence of cheap knockoffs, the importance of asking the right questions, identifying illegal practices, avoiding pre-purchase deals, social media advertising, the dangers of unrealistic before and after photos, and fake consultations.

Full show notes & chapters

Find us at drkatedee.com

Building trust and long-term relationships is crucial in the medical spa industry.

Offering cheap Botox can be a red flag and may indicate compromised quality or safety.

Online reviews on platforms like Yelp and Google play a significant role in attracting new patients.

Honest and transparent advertising is essential for maintaining a positive reputation and attracting the right clientele. Be cautious of illegal and unsafe procedures offered by non-medical establishments.

Ask the right questions and do thorough research before undergoing any treatment.

Beware of cheap knockoffs and illegal devices that can cause harm.

Avoid pre-purchase deals and consult with a reputable medical professional before making any decisions.

Be skeptical of unrealistic before and after photos on social media and understand that results may vary.

Chapters
  • 00:00 Introduction and Background
  • 01:11 Different Approaches to Marketing
  • 08:22 The Pitfalls of Groupon
  • 12:24 The Importance of Customer Service
  • 15:21 The Dangers of Cheap Botox
  • 24:01 The Role of Yelp and Google Reviews
  • 29:51 The Power of Google Ads
  • 32:06 Misleading Advertising
  • 33:25 Illegal and Unsafe Procedures
  • 34:02 Beware of Cheap Knockoffs
  • 34:50 Importance of Asking the Right Questions
  • 36:29 Identifying Illegal Practices
  • 37:17 Avoid Pre-Purchase Deals
  • 38:28 Social Media Advertising
  • 39:06 Tailoring Advertising to Demographics
  • 40:21 Emphasizing Value over Discounts
  • 41:18 Unrealistic Before and After Photos
  • 43:04 The Dangers of Photoshopped Images
  • 45:39 Fake Consultations
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March 13, 2024  ·  37:02

PRP and PRFM: how to benefit and avoid disaster

In this conversation, Dr. Kate Dee and Dr. Judy Rubin discuss the use of platelet-rich plasma (PRP) for facial rejuvenation, hair loss, sexual function and other medical conditions. They explain that PRP is derived from the patient's own blood and contains growth factors that promote healing and collagen synthesis. They also discuss the importance of maintaining sterility and proper training when performing PRP procedures, and cases of HIV and blindness when untrained people practice this form of medicine. Overall, PRP is considered a safe and effective treatment option when performed by qualified medical professionals.

Full show notes & chapters

Platelet-rich plasma (PRP) is derived from the patient's own blood and contains growth factors that promote healing and collagen synthesis.

PRP can be used for facial rejuvenation, hair loss, osteoarthritis, sexual function and other medical conditions.

Proper training and maintaining sterility are crucial when performing PRP procedures to ensure safety and effectiveness.

Chapters
  • 00:00 Introduction to PRP and Vampire Facelift
  • 01:11 Other Uses of PRP
  • 03:07 PRP for Hair Loss and Orthopedics
  • 04:25 PRP for Facial Rejuvenation
  • 06:22 PRP Microchanneling and Radio Frequency Microneedling
  • 07:41 The Origin of the Term 'Vampire Facial'
  • 08:45 The O-Shot and P-Shot
  • 10:02 PRP for Lichen Sclerosis
  • 11:09 Combining the O-Shot with Vaginal Rejuvenation
  • 13:40 PRP for Hair Loss
  • 15:39 Results and Frequency of PRP for Hair Loss
  • 20:18 Safety and Complications of PRP
  • 22:46 Maintaining Sterility in PRP Procedures
  • 29:28 Conclusion and Importance of Proper Training
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March 6, 2024  ·  33:23

The Vagina Dialog

Summary

Full show notes & chapters

In this episode, Dr. Kate Dee and Dr. Judy Rubin discuss vaginal rejuvenation and the various devices used for treatment. They cover the conditions that can be treated, such as vaginal dryness and incontinence, and the benefits of these treatments, including increased lubrication and improved sexual function. The doctors also address the challenges of insurance coverage and the lack of advertising options for these procedures. They emphasize the importance of doing research and reading scientific articles to learn more about the effectiveness and safety of vaginal rejuvenation.

Vaginal rejuvenation devices, such as CO2 lasers and radio frequency devices, can effectively treat conditions like vaginal dryness and incontinence.

These treatments can improve lubrication, reduce pain during intercourse, and even tighten the labia.

Insurance typically does not cover vaginal rejuvenation procedures, and there are limitations on advertising these treatments.

It is important to do research and read scientific articles to learn more about the safety and effectiveness of vaginal rejuvenation.

Chapters
  • 00:00 Introduction and Overview
  • 00:28 Different Devices for Vaginal Treatment
  • 03:21 Benefits of Vaginal Treatment
  • 04:08 Alternative to Surgery for Incontinence
  • 04:37 Improvement in Lubrication and Pain During Intercourse
  • 05:40 Labial Tightening
  • 06:13 Personal Experiences with Vaginal Rejuvenation
  • 08:06 Appearance of the Labia
  • 10:13 Personal Interest in Vaginal Rejuvenation
  • 14:40 Passion for Treating Menopausal Women
  • 16:08 Experience with Vaginal CO2 Laser
  • 21:25 Challenges in Advertising Vaginal Rejuvenation
  • 23:37 Cost and Insurance Coverage
  • 25:49 Lack of Reimbursement for Vaginal Rejuvenation
  • 28:44 Need for Research and Awareness
  • 29:23 Lack of Scams in Vaginal Rejuvenation
  • 30:16 Conclusion and Closing Remarks
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February 29, 2024  ·  41:19

Fake Botox and Chinese Medical Supplies: Why?

Today I'm speaking with Paige Savage, PA-C. Read Paige's bio here. We are discussing lots of different ways people are practicing medicine illegally and why they are buying fake botox and other supplies from foreign countries. You'll learn lots of ways people are cutting corners and what to ask to avoid paying for Botox but getting junk.

Full show notes

Read about Medspa Mayhem and find out more on our web site drkatedee.com.

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February 7, 2024  ·  30:28

Botox: what could possibly go wrong?

Today Dr. Judy Rubin is back to discuss everything that is great and not so great about Botox, Dysport and the other neurotoxins that are used everywhere to treat wrinkles and lots of other things. We learn all about these toxins and what they can do, why we love them and what can go terribly wrong, and why. Was that Botox party at the salon legit? Is the Botox being illegally obtained? Find out everything you need to know about getting the best Botox and avoiding the worst.

Full show notes

See more info at medspamayhem.com

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February 6, 2024  ·  36:23

Overstuffed syndrome: why do so many people have too much filler?

Do you ever look at someone and wonder what exactly is wrong with their face? Way too many medspas are putting way too much filler into people, and they are starting to look like aliens. Find out why this is happening, and how to get the best treatments for your skin-- without getting overstuffed. Dr. Judy Rubin joins me today to talk all about filler-- what we use it for, and what alternatives there are. Also, we'll talk abou the dangers of filler, and how to find someone you trust with your skin.

Full show notes

More information on fillers can be found on the Glow Blog here.

Order Medspa Mayhem on Amazon here.

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February 6, 2024  ·  27:02

IV Bars can be deadly

In this episode, Dr. Judy Rubin joins the podcast and we explore what happened to Jennifer Cleveland, a 47 year old mother of 4 who died at a med spa in Texas in July 2023. What are IV Bars? Why might you need an IV infusion? And how exactly did Amber Johnson, a person with no medical credentials at all, manage to not only set up her own med spa but kill someone within minutes of receiving a treatment there? And what happened to the Doctor who enabled this to happen?

Full show notes

Find out what questions to ask and how to avoid a similar fate.

More info on IV bars can be found on Dr. Rubin's web site.

To order Medspa Mayhem, visit Amazon or Barnes & Noble! Bookshop coming soon.

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Frequently Asked Questions

What is Medspa Confidential about?

A podcast that goes inside the wild, unregulated world of medical spas — covering everything from fake Botox and unlicensed practitioners to skincare science and longevity, through real stories and expert interviews.

Who hosts Medspa Confidential?

Dr. Kate Dee, MD — physician, aesthetic medicine specialist, and author of Medspa Mayhem — hosts every episode.

Where can I listen to Medspa Confidential?

Right here on this page, plus on Spotify, Apple Podcasts, and YouTube.

How often does a new episode come out?

A new episode is released weekly, typically on Wednesdays.

How many episodes are there?

The show has published well over 100 episodes since launching, with new ones added every week — full show notes for each are in the archive on this page.

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