Medspa Mayhem
The Good, the Bad, and the Ugly secrets of the medical aesthetics industry. Find out what's great, what's illegal, and avoid the deadly.
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John Oliver, Salmon Jizz, and the Science behind Salmon Sperm
07/09/2025
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. Why Salmon Jizz? Watch Last Week Tonight with John Oliver: Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Find out about the Contact Dr. Flora Waples Takeaways 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 Exosomes 31:06 The Role of DNA in Healing 33:56 Safety and Regulation in Aesthetic Treatments 39:15 Ensuring Quality in Med Spa Treatments 43:11 Conclusion and Contact Information
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The Wild World of Lasers with Raechel Lowe Jaap
06/25/2025
The Wild World of Lasers with Raechel Lowe Jaap
Laser Craziness with Dr. Kate Dee and Rachel Lowe Jap 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 Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Find out about the Reach out to Raechel Lowe Jaap Instagram , Tallahassee, FL Takeaways 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. Chapters 00:00 Introduction to MedSpa Mayhem 01:09 Meet Rachel Low Jap: Laser Expert 01:42 Rachel's Journey: From Aesthetician to Laser Tech 03:19 Early Career and First Encounters with Lasers 05:39 Navigating Legalities and Training in the Laser Industry 13:59 Crazy Stories from the MedSpa World 14:24 A Horrific Experience in Nursing School 19:33 Challenges and Regulations in the Laser Industry 24:14 Exploring the Proliferation of Laser Clinics in NYC 24:29 The Wonders of Laser Treatments 24:51 Favorite Laser Treatments and Their Benefits 26:27 Challenges in Treating Rosacea with Lasers 27:32 The Evolution of Laser Resurfacing 28:43 Evaluating New Laser Technologies 30:44 The Risks and Rewards of Laser Investments 32:17 Navigating the Laser Industry's Pitfalls 44:39 Legal and Compliance Issues in the Med Spa Industry 48:25 Final Thoughts and Advice for Laser Treatments
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Skincare & Peels with Dr. Jennifer Linder
06/11/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Find out about the Contact Dr. Jennifer Linder: Professionals: and for any Consumers: Instagram and Takeaways 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. Chapters 00:00 Introduction to MedSpa Mayhem 01:03 Meet Dr. Jennifer Linder 02:10 Journey to Founding PCA Skin 06:41 The Science Behind Skincare 17:21 Daily Skincare Regimen Essentials 23:30 Mindfulness and Skincare Routine 24:22 Introduction to Lender Health Peels 25:00 The Science Behind Chemical Peels 26:13 Developing Non-Inflammatory Peels 30:11 Different Types of Peels 32:47 Combining Peels with Other Treatments 35:08 Skincare Product Development 38:29 Sunscreen and Skincare Tips 42:54 Conclusion and Contact Information
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Exosomes and Stem Cells with Dr. Judy Rubin
05/28/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Find out about the Meet in Gig Harbor, WA Takeaways 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 Concerns 13:36 Applications and Benefits of Stem Cells and Exosomes 20:10 Concerns About Placenta Safety and FDA Monitoring 20:58 Cost Comparison of Knee Injections 22:10 Exosomes in Skincare 23:19 Ensuring Quality and Safety in Stem Cell Treatments 29:02 Med Spa Certification Initiative 30:40 The Importance of Proper Regulation and Enforcement 37:37 Safety and Efficacy of Stem Cells and Exosomes 38:40 How to Research and Find Reliable Providers 39:19 Conclusion and Contact Information
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Direct Primary Care and Women's Health & Hormones with Dr. Stefie Deeds
05/14/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Find out about the Reach out to Dr. Stefie Deeds Website: Menopause Checklist: Instagram: Takeaways 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. 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 23:28 Risks of Non-Guideline Based Care 24:55 Compounded Hormones vs. FDA Approved 27:42 Supplements and Their Efficacy 28:37 Personal Experiences with Hormone Therapy 30:07 Testosterone and Libido 31:38 Discussing Menopause with Your Doctor 37:45 Community Engagement and Education 39:32 Conclusion and Contact Information
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Inside the Wild West of Med Spas: Neurotoxins, Lasers, and Legal Chaos with Amanda Lemmage
04/30/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Find out about the Meet Amanda on and in Spring Park, IL Check out Amanda’s podcast: the Takeaways 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. Consumers need to know what questions to ask when choosing a med spa. Chapters 00:00 Introduction to MedSpa Mayhem 01:06 Meet Amanda Lemon: Licensed Esthetician and Business Coach 01:52 Diving into Neurotoxins: Botox, Dysport, and More 04:21 The Pros and Cons of Different Neurotoxins 11:31 Challenges with Sales Reps and Marketing Tactics 15:08 Laser Treatments: RF Microneedling and More 25:43 The Importance of Risk Management in Spas 25:57 Educating Patients on Safety 26:21 Honesty and Integrity in Patient Care 27:12 Avoiding High-Pressure Sales Tactics 27:59 Age Considerations for Treatments 28:39 Maintaining Skin Health Over Time 30:20 Industry Regulations and Legal Changes 31:31 The Role of Medical Directors 33:27 Ethical Concerns in Medical Spas 43:06 The Med Spa Board Certification 48:46 Advice for New Patients and Practitioners 50:39 Conclusion and Contact Information
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Inside Medspa Marketing: Tactics, Strategies, and Industry Insights with Middle Way Marketing
04/16/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase 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 . Takeaways 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 09:57 The Importance of Conversion 16:33 The Role of Price Transparency 20:24 Crazy Marketing Tactics 24:53 The Importance of Personalized Content 26:31 Effective Review Strategies 27:23 SEO and Keywords in Reviews 28:52 Prompting Patients for Reviews 30:00 The Role of Front Desk in Reputation Management 31:03 Personalized Review Requests 33:40 Importance of Word of Mouth and SEO 35:03 Challenges with Digital Communication 37:19 The Future of AI in Customer Interaction 41:12 Advice for Med Spa Owners and Consumers 50:06 Concluding Thoughts and Final Tips
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What’s next after weight Loss with GLP-1’s?
04/02/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Meet and on Visit Real Results medical, locations in Tempe and Scottsdale AZ: , and on Takeaways 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 Nutrition 15:35 Exercise Recommendations for Weight Loss 21:18 Using Technology to Aid Weight Loss 24:34 Common Pitfalls and How to Avoid Them 32:36 Final Thoughts and Advice 34:00 Conclusion and Contact Information
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Liposuction and Weight Loss with Dr. Giselle Prado-Wright
03/19/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase 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: Physicians: Instagram: Takeaways 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. Patients often regret not undergoing procedures sooner. Genuine care and passion are essential in cosmetic practices. Chapters 00:00 Introduction to MedSpa Mayhem 01:16 Meet Dr. Giselle Prado-Wright 02:08 Dr. Prado-Wright's Journey to Liposuction 04:18 Understanding Liposuction 07:52 Patient Consultations and Evaluations 09:56 Weight Loss and Liposuction 16:19 Complications and Recovery 18:54 Understanding Liposuction Complications 20:21 The Importance of Post-Op Care 21:17 Med Spa Complications and Follow-Up 21:55 Unusual Cases and Seroma Management 24:01 Infections and Mycobacterium Concerns 27:20 Skin Tightening with Renuvion 30:09 Founding Exert Body Sculpt 33:43 Advice for Practitioners and Patients 35:24 Conclusion and Final Thoughts
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Fat Mascara: the hidden dangers of the Med Spa Industry
03/05/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Visit the 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 awareness and push for better regulation. Chapters 00:00 Introduction and Podcast Announcement 00:43 Med Spa Industry Issues 01:36 Meet Dr. Kate Dee 03:40 Dr. Dee's Journey to Aesthetic Medicine 07:44 Legal and Regulatory Challenges in Med Spas 15:28 Finding a Reputable Aesthetic Provider 36:14 Choosing the Right Med Spa 36:44 Identifying Red Flags 38:51 The Importance of a Good Faith Exam 45:46 The Role of Reviews and Ratings 48:04 Avoiding Counterfeit Products 54:32 The Med Spa Certification Initiative 59:45 Fun and Personal Insights with Dr. Dee 01:02:44 Conclusion and Listener Engagement
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The GLP-1 Journey: From Semaglutide to Tirzepatide and back?
02/19/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase 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
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Innovation in Aesthetics 2025 with Nicole Gregory
02/05/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Reach out to Nicole Gregory Takeaways 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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Tackling Mayhem & Legal Compliance in the Med Spa Industry with Nicole Gregory
01/22/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Reach out to Nicole Gregory Takeaways 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. Chapters 00:00 Introduction to MedSpa Mayhem 01:12 Meet Nicole Gregory 02:11 Legal and Compliance Issues in Medical Aesthetics 03:33 The Chaos in the Med Spa Industry 05:27 The Role of Medical Directors 10:32 Founding the Michigan Med Spa Association 15:43 National Certification and Standards 27:32 Conclusion and Final Thoughts
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Tirzepatide Weight Loss in Chaos
01/08/2025
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. Takeaways: Tirzepatide has been declared no longer in shortage by the FDA Compounding pharmacies have limited time to sell what they have on hand The GLP-1 Weight Loss industry is in chaos, and the drugs will likely be in very short supply and costs are likely to rise Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase 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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Debunking Back Pain Myths with Dean Volk
01/01/2025
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. Reach out to Dr. Dee Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Reach out to Dean Volk Email Dean Volk at Connect with Dean Volk at Purchase Find Dean on and Takeaways 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 to Sciatica 15:11 Dean's Unique Treatment Method 18:44 Consultation and Coaching Programs 26:22 Diet and Inflammation 28:18 Dean's Book and Personal Stories 33:26 Final Thoughts and Contact Information
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The Year's Top Episodes: Disfigured Beauty
12/25/2024
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 Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Connect with Krysta on Read the (warning: graphic images) Takeaways 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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Navigating Chaos in the Beauty Industry with Christine Sherwood
12/19/2024
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. Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase on and The BeautyPro Podcast on and Takeaways 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 Difficult Clients 20:51 Scams and Safety Concerns 22:35 Unusual Client Requests 24:18 The Dynamic Salon and Spa Industry 26:51 Education and Professionalism in the Industry 33:24 Spotting Red Flags in Salons and Spas 37:51 Final Thoughts and AdviceSummary
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Arrest of a MedSpa Owner for Illegal Injectables and Posing as a Nurse
12/11/2024
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. Takeaways 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: Read details in “Havard”-trained spa owner injected clients with bogus Botox, prosecutors say, by Beth Mole National Headline on : Massachusetts spa owner allegedly performed thousands of illegal counterfeit injections Email Dr. Kate Dee at Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase 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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Essentials of Aesthetic Training with Dr. Kristen Jacobs
12/04/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Visit Dr. Jacobs website Check out Live Life Beautifully (With a Little Help) on or Find Dr. Jacobs at Takeaways 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 Complications in Aesthetic Procedures 24:23 Holistic Approach to Aesthetic Training 29:39 Advice for Consumers Seeking Aesthetic Treatments 35:54 Conclusion and Final Thoughts
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Treating Med Spa Complications: A Plastic Surgeon’s Experience with Cory Goldberg
11/27/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Connect with Dr. Goldberg: IG: Takeaways Botox and fillers can cause infections and granulomas if not administered properly. Permanent fillers carry significant risks and should be approached with caution. Liquid silicone injections can lead to migration and severe complications over time. The importance of using legitimate products in aesthetic treatments cannot be overstated. Aesthetic practitioners must be prepared to handle complications effectively. The risks of unregulated cosmetic procedures can lead to severe complications. Vascular occlusion is a serious risk in aesthetic treatments. Beauty standards are evolving, often influenced by social media and filters. There is a growing trend of over-treatment in the cosmetic industry. Education and awareness are crucial for patients seeking cosmetic procedures. Maintaining a balanced diet can significantly impact recovery and results. Chapters 00:00 Introduction 01:05 Meet Dr. Corey Goldberg 01:50 Complications from MedSpa Procedures 02:15 Botox Gone Wrong 11:34 Filler Complications 13:52 The Dangers of Permanent Fillers 22:32 Silicone Injections: A Cautionary Tale 24:34 Silicone Injections and Their Complications 25:28 The Dangers of Vascular Compromise 29:02 Unregulated Med Spas and Patient Risks 32:51 The Shift in Beauty Standards 41:55 Approach to Cosmetic Procedures 45:20 Personal Secrets for Health and Beauty 47:03 Conclusion and Final Thoughts
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Understanding Longevity: Insights from Dr. Rohan Bissoondath
11/20/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Connect with at Takeaways The medical community has increased lifespan but not necessarily health span. Aging can be slowed down, but not reversed. Nutrition should be personalized and based on individual patterns. Movement and functional health are crucial for longevity. Real food, such as whole foods, is essential for health. Education about nutrition should start early in life. GLP-1 medications show promise in improving metabolic health. Mental and physical health are interconnected and influence each other. Sleep hygiene is crucial for overall well-being. Foundational health habits should be prioritized over fads. Chapters 00:00 Taking Ownership of Your Health 01:32 Meet Dr. Rohan Basundath 02:34 The Concept of Longevity 03:26 Understanding Biological Age 04:17 Components of a Longevity Program 08:34 The Role of Nutrition and Movement 18:39 Precision Medicine and Individualized Care 21:48 The Cost of Prolonging Life 22:26 Healthy Living: Food and Exercise 24:13 Healthcare Spending and Longevity 25:47 The Obesity and Diabetes Epidemic 27:39 The Role of GLP-1 Agonists 29:57 Mental and Physical Health Connection 32:43 The Impact of Technology on Sleep 37:14 Practical Advice for Healthy Aging
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Let’s talk about Menopause with Dr. Naomi Busch
11/13/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Find Dr. Naomi Busch at Takeaways Menopause care has been historically neglected in medicine. The Women's Health Initiative study led to a significant decline in hormone therapy usage. Many doctors are now more open to prescribing hormone therapy after understanding the WHI study's limitations. Initial consultations for menopause care should include a thorough symptom checklist. Perimenopausal women can benefit from various treatment options, including hormonal and non-hormonal therapies. Bioidentical hormones are chemically identical to those produced by the body, but their marketing can be misleading. Testosterone therapy is primarily approved for low libido in women. IUDs can be a good option for women who cannot tolerate progesterone. Vaginal estrogen can significantly improve symptoms of dryness and pain during intercourse. Healthcare disparities in menopause treatment need to be addressed to ensure all women have access to necessary care. Chapters 00:00 Introduction 00:21 Meet Dr. Naomi Bush 00:51 Journey into Menopause Medicine 02:44 The 2002 Women's Health Initiative Study 08:18 Impact of the Study on Hormone Therapy 09:24 Consultation and Treatment Options 16:20 Understanding Bioidentical Hormones 20:58 Testosterone in Menopause Treatment 21:57 Navigating Testosterone Therapy 24:23 Understanding Pellet Therapy 26:04 Exploring IUDs and Progesterone Options 29:10 Addressing Vaginal Dryness and Pain 34:42 Challenges in Hormone Therapy Access 39:59 Concluding Thoughts and Future Topics
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Expert Insights: Aesthetics and Skincare with Aesthetician Lindsey Holder
11/06/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Check out Listen to the on Lindsey’s podcast, Takeaways Finding a good esthetician often starts with referrals. Personalized consultations are crucial for effective skincare. Diet plays a significant role in skin health. Building a relationship with your esthetician is important. Choose an esthetician that aligns with your lifestyle. Be cautious of deep discounts and promotions. Inflammation is a major factor in skin issues. Consistency and patience are key in skincare treatments. Many spas pressure providers to upsell products. Lepre Beauty offers online skincare tutorials and community support. Education is a key component in aesthetic practices. Microblading requires a skilled artist for the best results. Regulations vary by state, impacting aesthetic practices. Avoid unregulated services in home settings for safety. Shortcuts in aesthetics can lead to unsafe practices. Chapters 00:00 Introduction 01:05 Meet Lindsay Holder: Esthetician and CEO 02:08 Finding the Right Esthetician 03:44 The Importance of Personalized Consultations 08:32 Diet and Skin Health 09:17 Personal Stories of Skin Challenges 10:46 The Role of Inflammation in Skin Health 13:42 Sun Protection and Tanning Tips 19:09 Medical Grade Skincare Products 22:17 The High Cost of Medical Grade Facials 22:57 The Truth About Groupon Deals for Botox 23:49 The Importance of Happy Estheticians 24:19 Avoiding Product Push During Facials 25:38 Introducing LaPree Beauty 29:55 Microblading and State Regulations 32:43 The Art of Aesthetics 36:03 Choosing the Right Esthetician 39:18 Regulations and Safety in Aesthetics 42:31 Conclusion and Final Thoughts
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A Nurse's Filler Nightmare: Lessons in Safety and Informed Consent
10/30/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Takeaways Vascular Occlusion initially looked like severe bruising and was very painful Recognizing the signs of vascular occlusion was crucial. Informed consent is critical for all medical procedures Immediate treatment with filler dissolving enzyme is important to prevent permanent scarring Research and choose providers carefully Chapters 00:00 A Shocking Medical Emergency 01:22 Introducing Haley Sullivan 02:32 The Fateful Day 05:35 Immediate Aftermath 11:16 Seeking Help 15:42 Treatment and Recovery 16:15 The Chief Resident's Consequences 17:24 Reflecting on the Experience 20:46 Informed Consent and Medical Ethics 26:09 Final Thoughts and Advice
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Understanding Teeth Grinding: Causes, Effects, and Treatments with Rachelle Cohen
10/23/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase at Takeaways Teeth grinding and clenching is very common, especially after the COVID pandemic Teeth grinding, left untreated, can lead to cracked teeth, infection and even hospitalization Treatments for cracked teeth and implants can be very expensive Botox and Dysport are effective treatments for bruxism, and can lessen or even stop grinding entirely Wearing a night guard is highly recommended to protect teeth from damage Chapters 00:00 Introduction to Teeth Grinding Issues 01:09 Meet Rachelle Cohen: Endodontics Specialist 01:56 Understanding Bruxism and Its Impact 02:08 COVID-19 and the Surge in Cracked Teeth 02:54 The Role of Stress and Fillings in Teeth Damage 05:15 Identifying Teeth Grinding Symptoms 10:09 Night Guards: First Line of Defense 11:41 Botox as a Treatment for Teeth Grinding 17:15 Cost Considerations and Effectiveness 21:35 Conclusion and Final Thoughts
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AmSpa, The Law, and the State of Aesthetics with Alex Thiersch, AmSpa CEO
10/16/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Check out the Takeaways AMSPA was founded to address compliance in the med spa industry. Education is crucial for med spa owners to ensure compliance. There is a lack of enforcement of existing laws in the industry. IV bars pose significant safety risks to patients. Compliance is essential for the sustainability of med spas. AMSPA's membership includes a diverse range of professionals. Training programs must prioritize safety and compliance. Public awareness is key to ensuring safe practices in med spas. Chapters 00:00 Introduction and Safety Concerns in MedSpas 01:07 Meet Alex Tiersch: Founder of AMSPA 01:58 The Birth of AMSPA 03:50 AMSPA's Mission and Services 06:00 Legal Compliance in MedSpas 09:03 Challenges and Enforcement in the Industry 16:07 The Role of AMSPA in Education and Compliance 22:07 Understanding the Business Model 23:13 Challenges in Traditional Practices 24:07 Clinical Training and Partnerships 25:59 The Importance of Proper Training 28:28 Regulation and Compliance Issues 30:21 Future Goals for AMSPA 32:46 Addressing Non-Compliant Med Spas 36:18 The Need for Accreditation 40:34 Final Thoughts and Advice
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Getting Rid of Acne with Dr. Christopher Rex
10/09/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Find Dr. Christopher Rex at , and Takeaways Many patients have not been offered basic skincare recommendations for acne. Compliance with treatment is crucial for acne management. Adult onset acne is increasingly common and often untreated. A good skincare regimen can sometimes eliminate the need for other treatments Basics of acne treatment include skin care, antibiotics, retinoids, and hormone treatment Accutane is a valid treatment but should be considered after basic care. Skincare products can contain acne-causing ingredients. Steroid injections can be effective but carry risks of skin atrophy. Chapters 00:00 Introduction to MedSpa Mayhem 01:11 Meet Dr. Christopher Rex 01:41 Basics of Acne Management 06:04 Advanced Acne Treatments 10:49 Exploring Retinoids and Antibiotics 17:01 Chemical Peels and Skincare Products 18:32 Dealing with Recalcitrant Acne 21:27 Special Cases and Final Thoughts 34:44 Conclusion and Farewell
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Weight Loss with Tirzepatide
10/02/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase Find out more about Takeaways 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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Speaking Truth to Power
09/25/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Purchase 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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Understanding Vascular Occlusion
09/18/2024
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. Check out the for More about Dr. Dee Upcoming appearances Links to buy the book on Bookshop, B&N, Amazon Press and Podcast info in Seattle, WA Takeaways 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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