WEBVTT 1 00:00:02.673 --> 00:00:04.034 a listener production. 2 00:00:05.115 --> 00:00:05.836 I'm Bec Judd. 3 00:00:06.036 --> 00:00:06.977 And I'm Jess Roberts. 4 00:00:07.217 --> 00:00:09.118 And we're done with the smoke and mirrors. 5 00:00:09.419 --> 00:00:15.564 Faye Nish shares honest stories about what it takes to look amazing because we did not wake up like this. 6 00:00:15.784 --> 00:00:20.828 And you should know the stuff that we chat about on this podcast is based on our personal experiences. 7 00:00:21.168 --> 00:00:23.090 We're sharing it for your entertainment. 8 00:00:23.270 --> 00:00:25.932 It's definitely not medical advice. 9 00:00:26.112 --> 00:00:29.335 And we'll always be clear with you when something is a paid endorsement. 10 00:00:29.555 --> 00:00:34.556 Please always chat with your qualified healthcare team before making any decisions about your health. 11 00:00:49.782 --> 00:00:50.882 Hey guys, it's Bec Judd. 12 00:00:51.002 --> 00:00:51.782 And Jess Roberts. 13 00:00:51.842 --> 00:00:52.723 And welcome to Fainish. 14 00:00:53.223 --> 00:00:54.103 How you going, babe? 15 00:00:54.223 --> 00:00:54.543 I'm good. 16 00:00:54.583 --> 00:00:55.103 How are you? 17 00:00:55.123 --> 00:00:55.783 I'm alright. 18 00:00:55.803 --> 00:00:56.703 I'm just a bit annoyed. 19 00:00:57.003 --> 00:00:57.304 Are you? 20 00:00:57.364 --> 00:00:57.984 I'm annoyed. 21 00:00:58.544 --> 00:00:58.684 Oh. 22 00:00:58.844 --> 00:01:00.184 Are you, um, what's it called? 23 00:01:00.344 --> 00:01:00.664 Ovulating? 24 00:01:00.684 --> 00:01:01.224 Not ovulating. 25 00:01:01.484 --> 00:01:02.365 The fourth week. 26 00:01:02.405 --> 00:01:03.325 Luteal phase. 27 00:01:03.645 --> 00:01:04.065 Yeah. 28 00:01:05.065 --> 00:01:05.685 Uh, no. 29 00:01:05.705 --> 00:01:05.765 No. 30 00:01:06.205 --> 00:01:06.985 Oh, no. 31 00:01:07.245 --> 00:01:08.966 I should be peaking right now. 32 00:01:09.026 --> 00:01:10.086 I should be super happy. 33 00:01:10.126 --> 00:01:10.586 Yeah, okay. 34 00:01:10.666 --> 00:01:12.206 I'm like day six. 35 00:01:12.927 --> 00:01:13.447 Oh, oh. 36 00:01:13.607 --> 00:01:15.107 The next week's gonna be fun. 37 00:01:15.447 --> 00:01:16.807 It's gonna be so fun. 38 00:01:18.388 --> 00:01:18.708 Oh, no. 39 00:01:18.728 --> 00:01:19.508 Do you know what? 40 00:01:20.128 --> 00:01:32.534 You know, in this day and age, we have so much life admin that catches us, not just, you know, in a work setting where you could, you go to work, you go home and your day was done. 41 00:01:32.834 --> 00:01:43.258 But the constant life admin, the constant stuff from the school, appointments, et cetera, setting up new things at home and the apps and the whatever, the to-do list is mind-boggling. 42 00:01:43.278 --> 00:01:43.458 It is. 43 00:01:43.579 --> 00:01:46.760 And as I'm sitting here with you today and we're recording today, 44 00:01:47.000 --> 00:01:49.701 The emails, I can see my phone going ding, ding, ding, ding. 45 00:01:50.001 --> 00:02:09.305 And one of the things that pisses me off the most, and I'm just, I'm refusing to ever do it again, right, is when you book an appointment, so a medical appointment, a specialist appointment, dental appointment, physio appointment, whatever, and they send you all these forms that you have to fill out before you get there. 46 00:02:09.805 --> 00:02:13.826 I'm like, no, I can fill them out when I get there. 47 00:02:13.866 --> 00:02:16.787 That whole like, come in 10 minutes early to fill out a form. 48 00:02:17.047 --> 00:02:17.287 Yeah. 49 00:02:17.508 --> 00:02:18.268 That's what we want. 50 00:02:18.348 --> 00:02:18.568 Yeah. 51 00:02:18.769 --> 00:02:19.429 A paper form. 52 00:02:19.449 --> 00:02:19.669 Yes. 53 00:02:19.810 --> 00:02:23.132 I don't need all these emails and notifications. 54 00:02:23.152 --> 00:02:23.353 It's lost. 55 00:02:23.373 --> 00:02:24.694 And say, you haven't filled out your form. 56 00:02:24.714 --> 00:02:25.454 You haven't done this. 57 00:02:25.595 --> 00:02:25.795 Yeah. 58 00:02:25.895 --> 00:02:27.696 I fill out the fucking form when I get into the office. 59 00:02:27.716 --> 00:02:28.017 Yes. 60 00:02:28.677 --> 00:02:29.418 It pisses me off. 61 00:02:29.438 --> 00:02:29.618 Yeah. 62 00:02:29.718 --> 00:02:34.743 And going on medical appointments, we used to go to our doctor and go, you might need a referral. 63 00:02:34.783 --> 00:02:36.104 And they would refer it to the doctor. 64 00:02:36.124 --> 00:02:36.224 Yeah. 65 00:02:36.724 --> 00:02:38.766 And then the doctor will call you and go, hey, we've just got your referral. 66 00:02:38.786 --> 00:02:39.567 Let's book you an appointment. 67 00:02:39.888 --> 00:02:49.057 Now it's like here's your referral and then you've got to send it via an email to the specialist that you're seeing and then you've got to call up. 68 00:02:49.397 --> 00:02:50.158 Yeah. 69 00:02:50.178 --> 00:02:51.559 There's another step in there now. 70 00:02:51.619 --> 00:02:52.000 Yes. 71 00:02:52.100 --> 00:02:53.081 It's like, oh. 72 00:02:53.181 --> 00:02:54.682 It's just like the life. 73 00:02:54.742 --> 00:02:56.324 Like can we just go back and… 74 00:02:56.624 --> 00:03:02.710 To the good old days when there weren't apps and forms and all these BS for everything. 75 00:03:02.730 --> 00:03:04.912 And we just need to simplify our lives. 76 00:03:05.093 --> 00:03:11.579 When we were building our house, the electrician was like, oh, do you want to put in, I think it was called CBUS or something. 77 00:03:11.739 --> 00:03:12.801 Oh, yes, we had that. 78 00:03:12.821 --> 00:03:15.284 Some like home automation system and do you want to do this? 79 00:03:15.344 --> 00:03:16.346 And I'm like, why would I want that? 80 00:03:16.866 --> 00:03:25.518 Oh, because you can turn on your lights and your heating before you even arrive home and you can turn the pool on and get it warm and all these things to automate your life. 81 00:03:25.578 --> 00:03:27.861 And I thought, well, that's going to be a pain in the ass. 82 00:03:28.462 --> 00:03:29.583 There's going to be system updates. 83 00:03:29.623 --> 00:03:30.504 It's not going to work. 84 00:03:30.544 --> 00:03:32.605 And it was like $30,000, right? 85 00:03:32.966 --> 00:03:40.191 And then you know that with the advances in technology, that all that investment in five, ten years, there'll be something else that's updated. 86 00:03:40.211 --> 00:03:44.895 Like now you can just do like a, hey, Alexa or whatever, and they can do it for you. 87 00:03:45.295 --> 00:03:49.098 But all that these extra things, I'm like, no, hear me out, electrician. 88 00:03:49.178 --> 00:03:58.205 I want a plain old light switch, like the ones that we used to have in the 80s and 90s, that you just go over and with your finger, you turn it off and off. 89 00:03:58.305 --> 00:03:58.445 on. 90 00:03:58.645 --> 00:03:59.626 That's all I want. 91 00:03:59.786 --> 00:04:00.986 He's like, oh, really? 92 00:04:01.006 --> 00:04:01.607 But you can keep... 93 00:04:01.627 --> 00:04:03.368 I'm like, no, I don't want all the connections. 94 00:04:03.408 --> 00:04:04.128 I don't want the apps. 95 00:04:04.188 --> 00:04:05.009 I don't want the headaches. 96 00:04:05.129 --> 00:04:09.591 I don't want the service guy having to come over and update the freaking software because, of course, we can't turn the lights on. 97 00:04:09.611 --> 00:04:11.532 We can't turn the heater on because the system's gone. 98 00:04:11.572 --> 00:04:13.093 No, give me a freaking light switch. 99 00:04:13.153 --> 00:04:13.773 That's all I want. 100 00:04:13.793 --> 00:04:13.933 Yep. 101 00:04:14.113 --> 00:04:14.413 I agree. 102 00:04:14.474 --> 00:04:15.074 I still want that. 103 00:04:15.254 --> 00:04:15.914 I still want that. 104 00:04:15.954 --> 00:04:16.274 Right? 105 00:04:16.294 --> 00:04:18.075 So did you put the C-Bus or whatever? 106 00:04:18.095 --> 00:04:18.676 What's it called? 107 00:04:18.856 --> 00:04:19.496 C-Bus, yes. 108 00:04:19.516 --> 00:04:20.196 It is called C-Bus. 109 00:04:20.237 --> 00:04:21.157 It sounds like a bank. 110 00:04:21.177 --> 00:04:21.677 Yeah, I know. 111 00:04:21.737 --> 00:04:21.997 I know. 112 00:04:22.037 --> 00:04:22.918 We had it for... 113 00:04:23.438 --> 00:04:25.439 a commercial building and a residential at the top. 114 00:04:25.859 --> 00:04:27.319 We had it all put through the system. 115 00:04:27.479 --> 00:04:28.880 We've still got it all through the building. 116 00:04:29.460 --> 00:04:31.741 And, yeah, there's always issues. 117 00:04:31.781 --> 00:04:33.021 And it costs so much money, right? 118 00:04:33.041 --> 00:04:36.062 Yeah, and, like, we got it when it was, like, first started. 119 00:04:36.182 --> 00:04:37.643 So we paid top dollar for it. 120 00:04:37.663 --> 00:04:38.323 Yeah. 121 00:04:38.343 --> 00:04:39.323 I think it's all right now. 122 00:04:39.563 --> 00:04:41.224 I haven't heard Val complain about it. 123 00:04:41.304 --> 00:04:42.864 Maybe he's swapped it over already. 124 00:04:42.884 --> 00:04:43.264 I don't know. 125 00:04:43.324 --> 00:04:43.825 But, yeah. 126 00:04:43.845 --> 00:04:44.825 He's got Alexa now. 127 00:04:44.845 --> 00:04:45.665 Yeah, yeah, yeah. 128 00:04:46.225 --> 00:04:47.166 Yeah, I don't know. 129 00:04:47.186 --> 00:04:47.746 She's cheap. 130 00:04:47.926 --> 00:04:48.606 Yeah, she's cheap. 131 00:04:48.626 --> 00:04:49.506 Yes, no, I agree. 132 00:04:49.526 --> 00:04:49.807 I agree. 133 00:04:49.827 --> 00:04:50.707 Do you know what I miss? 134 00:04:51.742 --> 00:04:59.045 And I used to do it for my mum and mum said it and I wish this happened to me because I'm so bad because I forget my passwords for everything because I'm constantly changing passwords. 135 00:04:59.725 --> 00:05:04.166 So anyway, it comes with apps for school and emails, all of that stuff. 136 00:05:04.246 --> 00:05:06.767 And obviously having three kids, having a lot of kids, there's just so much life happening. 137 00:05:06.787 --> 00:05:11.529 Like you said, I just miss the days where the kid used to write in the diary... 138 00:05:12.389 --> 00:05:16.372 Tuesday is pupil free day or like Friday is free dress day. 139 00:05:16.753 --> 00:05:19.234 Bring a dollar coin in for red nose. 140 00:05:19.495 --> 00:05:19.875 That's it. 141 00:05:20.035 --> 00:05:21.376 Just the kids to write it. 142 00:05:21.436 --> 00:05:23.998 It teaches them how to like schedule into their diary. 143 00:05:24.078 --> 00:05:24.278 Yeah. 144 00:05:24.599 --> 00:05:26.560 The diary comes home because we've got to sign it anyway. 145 00:05:26.840 --> 00:05:27.021 Yeah. 146 00:05:27.181 --> 00:05:29.883 Comes home, we look at it and go, oh, okay, tomorrow is this. 147 00:05:30.223 --> 00:05:30.963 Yeah. 148 00:05:31.003 --> 00:05:31.463 That's all you want. 149 00:05:31.603 --> 00:05:39.906 You don't need the forms, the permission forms that come from the schools every day, the consent form to go to the incursion at school or the excursion or the whatever. 150 00:05:40.046 --> 00:05:44.908 It's like just tick the box, yes, my kids are allowed to go to everything for the whole year. 151 00:05:44.928 --> 00:05:45.248 Yeah, yeah. 152 00:05:45.368 --> 00:05:45.628 That's it. 153 00:05:45.668 --> 00:05:46.248 Yeah, and I'll tell you. 154 00:05:46.268 --> 00:05:49.349 If you're listing schools, don't bother sending any more forms. 155 00:05:49.369 --> 00:05:50.709 The Judds are in. 156 00:05:50.930 --> 00:05:51.870 So is the Roberts. 157 00:05:52.450 --> 00:05:53.090 We're in. 158 00:05:53.530 --> 00:05:53.690 In. 159 00:05:54.110 --> 00:05:54.291 Yeah. 160 00:05:54.311 --> 00:05:57.772 Unless it's 5.30 in the morning, I have to get up and take you to Run Club, Scarlet. 161 00:05:58.292 --> 00:05:58.812 It's not happening. 162 00:06:00.751 --> 00:06:27.805 And you know the funny thing is I didn't sign the fucking forms And I still take my kid So I don't know why I'm signing the forms Why do I need to sign the forms She's going to go and do it anyway How many times I've not signed the forms And then I've gone shit That excursion was on Thursday Scarlett did you go to the zoo on Thursday last week She goes yes mum That's why I had the spots Because she makes my lunchbox And I was like Oh I've just seen the reminder I never signed it They still took it So why do we have a fucking form Sorry They still take them 163 00:06:35.618 --> 00:06:40.203 So guys, today we are having one of our really good friends on. 164 00:06:40.383 --> 00:06:44.347 He's the owner of Flawless in Hampton and Toorak. 165 00:06:44.587 --> 00:06:50.994 He's also one of the head emergency department physicians across Alfred Health. 166 00:06:51.354 --> 00:06:55.259 So yes, when you're in big trouble and your life needs saving, 167 00:06:55.799 --> 00:06:57.780 This guy, he's the one. 168 00:06:57.820 --> 00:06:58.140 He is. 169 00:06:58.181 --> 00:07:00.902 We do call him at 2am in the morning sometimes. 170 00:07:00.922 --> 00:07:02.003 Like, are kids sick? 171 00:07:02.023 --> 00:07:02.763 What do we do? 172 00:07:02.863 --> 00:07:04.244 Yeah. 173 00:07:04.264 --> 00:07:11.749 So, you know, like Alfred Health in Melbourne, if you're not from Victoria listening, is the major trauma hospital here. 174 00:07:11.869 --> 00:07:12.129 It's big. 175 00:07:12.369 --> 00:07:12.769 big. 176 00:07:13.230 --> 00:07:14.790 In the past, it's had its own TV show. 177 00:07:15.451 --> 00:07:24.035 And Sean, he's often the guy meeting the helicopter as it choppers in these people who are really, really unwell. 178 00:07:24.055 --> 00:07:25.215 And he's also on that show. 179 00:07:25.275 --> 00:07:25.515 Yeah. 180 00:07:25.575 --> 00:07:28.497 A lot of multi-traumas, big car accidents. 181 00:07:28.797 --> 00:07:30.478 Sean's out there at the helipad. 182 00:07:30.938 --> 00:07:34.239 He's the first guy they see and he literally is saving lives. 183 00:07:34.259 --> 00:07:35.700 And he's been doing this for so long. 184 00:07:36.040 --> 00:07:40.005 Plus, he's also, yeah, into aesthetics and has his flawless clinics. 185 00:07:40.585 --> 00:07:41.706 And we've been lucky enough. 186 00:07:41.726 --> 00:07:43.068 We actually met him through school. 187 00:07:43.088 --> 00:07:43.829 He's a school dad. 188 00:07:44.189 --> 00:07:44.429 Yeah. 189 00:07:44.549 --> 00:07:45.911 We go to his clinic. 190 00:07:46.071 --> 00:07:47.753 We are customers and clients there. 191 00:07:48.193 --> 00:07:54.200 And we have partaken in many a biostimulator in the last, what, 18 months? 192 00:07:54.300 --> 00:07:54.500 Oh, yeah. 193 00:07:54.560 --> 00:07:54.820 Two years? 194 00:07:54.840 --> 00:07:55.061 Two years. 195 00:07:55.581 --> 00:07:57.762 four different ones on Friday. 196 00:07:58.042 --> 00:08:05.064 So when we're talking about biostimulators, this is different to fillers where we had Dr. Cara McDonald come on, who was great. 197 00:08:05.404 --> 00:08:07.545 Today, it's all about biostimulators. 198 00:08:07.565 --> 00:08:08.945 This is the buzz product. 199 00:08:09.086 --> 00:08:10.606 Everyone wants to know about it. 200 00:08:10.626 --> 00:08:15.948 It is confusing because there's so many different types, salmon, jizz, hyaluronic injections, you name it. 201 00:08:15.988 --> 00:08:17.368 So Sean's going to break it all down. 202 00:08:17.428 --> 00:08:18.729 Yeah, dumbify it for us. 203 00:08:19.409 --> 00:08:21.190 Welcome to Veinish, Dr. Sean. 204 00:08:21.510 --> 00:08:22.010 Thank you, Jess. 205 00:08:22.390 --> 00:08:23.430 So good to have you in here. 206 00:08:23.510 --> 00:08:25.331 So let's talk about your qualifications. 207 00:08:25.491 --> 00:08:26.272 Talk yourself up, mate. 208 00:08:26.692 --> 00:08:28.394 Let the world know how fabulous you are. 209 00:08:29.155 --> 00:08:36.862 Not quite that fabulous, but I am a full-time emergency physician at the State Trauma Centre and I work across the emergency department and the trauma unit. 210 00:08:37.443 --> 00:08:47.473 And then in my spare time, I am medical director for Flawless Rejuvenation, which is a full service sort of skin clinic, one location in Hampton and one in Toorak. 211 00:08:48.438 --> 00:08:52.840 In your spare time, you just run these aesthetic medical clinics. 212 00:08:52.920 --> 00:08:53.681 In your spare time. 213 00:08:54.021 --> 00:08:55.902 You do heaps of training as well, right? 214 00:08:56.002 --> 00:09:03.145 Yeah, do a fair bit of training and run a couple of courses about safety in the cosmetic industry. 215 00:09:03.685 --> 00:09:11.989 And then, yeah, try and attend as many conferences as I can a year to keep abreast of what's happening in this rapidly changing environment of cosmetics. 216 00:09:12.029 --> 00:09:14.130 So, yeah, it's a fun industry to be in. 217 00:09:14.603 --> 00:09:23.465 It's really interesting because a few years ago, when you're talking about aesthetics and injectables, it was anti-wrinkle and filler. 218 00:09:23.565 --> 00:09:24.905 And that was pretty much it. 219 00:09:25.245 --> 00:09:30.426 And then in the last couple of years, all of a sudden, all the talk is biostimulators. 220 00:09:30.486 --> 00:09:30.746 Yeah. 221 00:09:30.866 --> 00:09:37.968 So we thought, Sean, that we wanted to get you on because you inject all of these, you're trained in it, you train people on how to do it. 222 00:09:37.988 --> 00:09:38.088 Yeah. 223 00:09:38.828 --> 00:09:48.253 So we had Dr. Cara McDonald in to talk about fillers and we thought let's get biostimulators covered and we thought you were just the perfect person to do so because you're across it all. 224 00:09:49.454 --> 00:09:50.354 Yeah, I try to be. 225 00:09:52.315 --> 00:09:56.517 So can you tell us, for anyone new to the term, what are biostimulators? 226 00:09:56.617 --> 00:09:59.259 Like in simple terms that make it, dumbify it for us. 227 00:09:59.539 --> 00:10:05.482 Okay, so biostimulators are not fillers and not anti-wrinkle because they're something that are completely different. 228 00:10:06.082 --> 00:10:14.867 So what a biostimulator is, is really usually a medicine which will encourage your cells to produce elastin and collagen. 229 00:10:15.948 --> 00:10:19.750 Now, when you talk about elastin and collagen, you think about the skin. 230 00:10:20.230 --> 00:10:25.473 So the collagen there is to give your skin strength and to be like the scaffolding of your skin. 231 00:10:26.053 --> 00:10:30.015 And elastin is there to give your skin its kind of stretchiness and recoil. 232 00:10:30.256 --> 00:10:34.378 Now, if you look at a child, so look at Jagger or your youngest, Darcy, Mm-hmm. 233 00:10:34.698 --> 00:10:38.380 Have a look at their skin, how plump and how elastic their skin is. 234 00:10:38.420 --> 00:10:43.022 And when you pinch it, it kind of recalls and snaps back and it's nice and thick and pudgy. 235 00:10:43.302 --> 00:10:44.922 I actually do this often. 236 00:10:45.023 --> 00:10:50.665 I look at my kids' faces, their skin, and I pull it and I'm just mesmerized. 237 00:10:50.705 --> 00:10:51.785 Yeah, I do the whole like push it. 238 00:10:51.805 --> 00:10:52.486 It's so amazing. 239 00:10:52.586 --> 00:10:54.607 And their tiny pores as well. 240 00:10:54.627 --> 00:10:55.227 100%. 241 00:10:55.427 --> 00:10:58.129 So is this what biostimulators are trying to do? 242 00:10:58.169 --> 00:10:58.909 Take us back. 243 00:10:58.949 --> 00:11:05.553 So we have elastin and collagen and as we age, we start to lose the ability to make elastin and collagen. 244 00:11:06.394 --> 00:11:14.959 So around about puberty, we start to decrease the amount of elastin and collagen we make in our skin and it usually is about 1% to 1.5% per year. 245 00:11:18.297 --> 00:11:24.784 When it comes to menopause, we get this acceleration of decrease of elastin collagen production. 246 00:11:24.884 --> 00:11:32.111 And some say, say menopause lasts for three to four years, you'll get a 30% reduction in elastin collagen production. 247 00:11:32.472 --> 00:11:33.833 I'm never doing the menopause thing. 248 00:11:33.873 --> 00:11:34.333 No. 249 00:11:34.573 --> 00:11:34.933 No. 250 00:11:35.854 --> 00:11:37.135 I'll be a Marilyn Monroe 37. 251 00:11:37.175 --> 00:11:40.416 I'm out. 252 00:11:40.937 --> 00:11:41.577 That's full on. 253 00:11:41.597 --> 00:11:47.860 So you've already had the one to one and a half percent per year from puberty and then you just whack another 30 percent in there. 254 00:11:47.880 --> 00:11:48.901 In like three, four years. 255 00:11:49.041 --> 00:11:49.341 Yeah. 256 00:11:49.441 --> 00:11:57.706 You have a good inkling of when a woman has gone through menopause by the texture and the look of her skin. 257 00:11:57.886 --> 00:12:01.568 There's definitely a change that is significant. 258 00:12:02.007 --> 00:12:02.728 And you can see that. 259 00:12:02.748 --> 00:12:11.497 So if you look at your kid's skin, look at your skin and how it behaves and how you pull it up, look at your parent's skin and then look at your grandparent's skin. 260 00:12:11.577 --> 00:12:18.845 And you can see this deterioration gradually and the skin gets thinner, it gets more photo-aged, it gets more damaged, it gets less elastic. 261 00:12:18.865 --> 00:12:21.788 And that's all because we're losing elastin and collagen. 262 00:12:22.068 --> 00:12:22.209 Mm-hmm. 263 00:12:22.729 --> 00:12:25.910 Now, there are certain things in the lifestyle that can accelerate that. 264 00:12:25.970 --> 00:12:32.552 So things like smoking and things like carbohydrates will degrade collagen and elastin a lot faster. 265 00:12:32.572 --> 00:12:33.652 Is that because it's a sugar? 266 00:12:33.972 --> 00:12:40.554 Yeah, so it basically destroys it, links onto it, glycates it is the term and will destroy the elastin and the collagen. 267 00:12:40.974 --> 00:12:42.115 And then things like UV rays. 268 00:12:42.156 --> 00:12:48.663 So that's why we're very vigilant, especially in Australia, that we wear sunscreen and protect our skin from UV rays because that's going to age us. 269 00:12:48.743 --> 00:12:55.051 It's going to photo age our skin, reduce our elastin, reduce our collagen, as well as do lots of other things that are harmful to our skin. 270 00:12:55.071 --> 00:12:56.633 You're going to say tequila too, aren't you? 271 00:12:57.553 --> 00:12:58.233 Not tequila. 272 00:12:58.693 --> 00:12:59.674 You might be okay. 273 00:12:59.694 --> 00:13:00.994 Is there much sugar in tequila? 274 00:13:01.014 --> 00:13:02.134 Wine and champagne. 275 00:13:02.154 --> 00:13:03.875 I don't think there's any sugar in tequila. 276 00:13:04.055 --> 00:13:04.215 No. 277 00:13:04.235 --> 00:13:04.935 I don't think vodka. 278 00:13:04.955 --> 00:13:05.595 I'm looking at you. 279 00:13:05.915 --> 00:13:08.136 Just with soda and a squeeze of lime. 280 00:13:08.176 --> 00:13:08.496 Yeah. 281 00:13:08.716 --> 00:13:09.016 Yeah. 282 00:13:09.036 --> 00:13:09.576 What are they called? 283 00:13:09.616 --> 00:13:10.216 Skinny bitches? 284 00:13:10.797 --> 00:13:11.357 That's the drink? 285 00:13:11.377 --> 00:13:12.517 Oh, is that what they're called? 286 00:13:12.537 --> 00:13:13.377 Yeah, yeah, yeah. 287 00:13:13.537 --> 00:13:14.538 I learned that from Sex and the City. 288 00:13:15.218 --> 00:13:16.918 Yeah, yeah. 289 00:13:16.998 --> 00:13:18.178 Oh, I love that. 290 00:13:18.479 --> 00:13:19.879 So I guess is that what... 291 00:13:20.299 --> 00:13:22.400 biostimulators are trying to do. 292 00:13:22.420 --> 00:13:26.362 So what biostimulators are trying to do is switch on that production of elastin and collagen. 293 00:13:26.722 --> 00:13:32.925 So I had a really good analogy from a colleague of mine, Dr. Christy, up in northern New South Wales. 294 00:13:32.945 --> 00:13:34.365 She's been on this podcast. 295 00:13:34.525 --> 00:13:34.845 Has she? 296 00:13:34.945 --> 00:13:35.125 Yeah. 297 00:13:35.186 --> 00:13:37.166 She was talking all about vaginal steaming. 298 00:13:40.708 --> 00:13:43.870 She had a great analogy for where bar stimulators work. 299 00:13:44.810 --> 00:13:49.253 If you think of a bed, there are lots of things that we can do to improve the base of the bed. 300 00:13:49.953 --> 00:13:54.635 And there are lots of things that we can do to improve the covers or the pillows. 301 00:13:54.815 --> 00:13:57.197 But where the bar stimulator works is in the mattress. 302 00:13:57.797 --> 00:14:01.599 So that's where I kind of tell my clients where we're working with a bar stimulator. 303 00:14:02.680 --> 00:14:06.185 So, Sean, biostimulators, there's so many around right now. 304 00:14:06.205 --> 00:14:08.869 There's lots of different brand names we're hearing. 305 00:14:08.989 --> 00:14:09.610 People get confused. 306 00:14:09.630 --> 00:14:09.970 Yeah, absolutely. 307 00:14:09.990 --> 00:14:10.391 Is that a filler? 308 00:14:10.671 --> 00:14:11.893 Is that a biostimulator? 309 00:14:12.233 --> 00:14:17.140 Tell us some of the brand names that people can hear and that fit under the biostimulator umbrella. 310 00:14:17.160 --> 00:14:17.641 Right, sure. 311 00:14:17.981 --> 00:14:18.242 So... 312 00:14:19.023 --> 00:14:27.712 The original two were PLLA, which is known as Sculptra, which is made from dissolvable suture material, put it bluntly. 313 00:14:28.252 --> 00:14:32.196 There is one which is calcium hydroxyapatite, which is Radiesse. 314 00:14:32.837 --> 00:14:38.883 And then the newer ones that we've seen are Profilo, which is a covalently bonded halorodic acid, 315 00:14:39.484 --> 00:14:44.906 You've got sunicos, which is six amino acids and a halogen acid component too. 316 00:14:45.626 --> 00:14:51.448 You have bi-elegant harmonica, which is a HA plus calcium hydroxyapatite. 317 00:14:51.768 --> 00:14:55.909 So that's like a blend of a profiler and a RADS type product. 318 00:14:56.009 --> 00:14:56.629 Yeah, correct. 319 00:14:56.769 --> 00:14:57.730 Oh, gosh. 320 00:14:58.310 --> 00:15:03.511 And there's a couple other ones out there, but those are probably the main ones that we would hear on a day-to-day basis. 321 00:15:03.551 --> 00:15:05.612 And how did you decide which... 322 00:15:06.072 --> 00:15:07.812 type for the patient? 323 00:15:07.832 --> 00:15:10.513 Is it just what your clinic stops and what you're trained in? 324 00:15:10.773 --> 00:15:13.154 Or do they all have their separate place? 325 00:15:13.954 --> 00:15:19.255 Is it like each biostimulator is for a different area or they can be all across the same area? 326 00:15:19.476 --> 00:15:19.936 Oh, no. 327 00:15:19.956 --> 00:15:21.416 Some of them can be used in different areas. 328 00:15:21.436 --> 00:15:24.937 Some of them work well in certain areas and some of them will work well with certain... 329 00:15:25.297 --> 00:15:25.918 patient type. 330 00:15:25.978 --> 00:15:39.717 So it's important to take a history from a patient, work out exactly what they're trying to achieve, how fast they're trying to achieve it, whether they've had any surgery, whether they're going to have any surgery because some of the bar stimulators are not a contraindication to plastic surgery. 331 00:15:40.238 --> 00:15:50.460 We had Dr. Andrew Greensmith come on and talk about some of the biostimulators he's had to dig out of people's faces when he's trying to separate planes during a facelift and he was not a fan of that particular one. 332 00:15:50.500 --> 00:15:53.441 Because that particular one would cause scar tissue, which would... 333 00:15:53.461 --> 00:15:54.901 It just made his job hard. 334 00:15:54.921 --> 00:16:02.523 I think when you can't find a nerve when you're in someone... Or if you've had a biostimulator and it's all scar tissue from a biostimulator, like that's... Yeah. 335 00:16:02.623 --> 00:16:02.883 Yeah. 336 00:16:02.903 --> 00:16:03.743 It's not ideal. 337 00:16:03.883 --> 00:16:06.305 It certainly doesn't make it impossible, but it can make it harder. 338 00:16:06.365 --> 00:16:07.145 Cost a bit more. 339 00:16:07.786 --> 00:16:10.327 More time, more time, more stress for the surgeon as well. 340 00:16:10.368 --> 00:16:11.368 More stress for the surgeon. 341 00:16:11.668 --> 00:16:19.374 So some of the surgeons say, you know, they don't want you to have the inflammatory biostimulators two years before you're going to have surgery. 342 00:16:19.394 --> 00:16:28.000 So if someone's coming in and said, I'm going to have a facelift in a month or in a year, then probably going to reduce the usage of this particular biostimulator. 343 00:16:28.040 --> 00:16:32.563 And I'll pick something that's less inflammatory or is less inclined to stick planes of the tissue together. 344 00:16:32.948 --> 00:16:34.428 I think that's important to know if you're listening. 345 00:16:34.448 --> 00:16:37.529 There's so many different types, different indications. 346 00:16:37.990 --> 00:16:40.650 And you've got to think about your lifestyle and also what your future plans are. 347 00:16:40.670 --> 00:16:40.930 Yeah. 348 00:16:41.131 --> 00:16:48.733 If you are going to get a facelift, you need to tell your doctor or your injector what you're doing so that they can kind of guide you and give you the right treatment. 349 00:16:49.733 --> 00:16:51.774 So how long does it take for it to kind of kick in? 350 00:16:51.794 --> 00:16:51.894 Yeah. 351 00:16:52.634 --> 00:16:53.254 Well, that's the thing. 352 00:16:53.915 --> 00:17:01.140 It's not like you fillers a couple of days or even immediately, whereas anti-wrinkle injections take two to seven days. 353 00:17:01.720 --> 00:17:05.603 Your biostimulase are going to be in the range of weeks to months. 354 00:17:05.663 --> 00:17:06.984 So you have to plan for this. 355 00:17:07.744 --> 00:17:10.946 And you really have to educate your clients that this is not going to be a quick fix. 356 00:17:11.247 --> 00:17:13.048 This is a journey that we're going to go on together. 357 00:17:13.068 --> 00:17:14.589 So this is the thing with Jess and I, right? 358 00:17:14.869 --> 00:17:18.930 We get all the biostimulators, but then we also do the lasers and the skincare and the peels. 359 00:17:18.950 --> 00:17:28.553 So we stick to the schedule, but we can't pinpoint and say, I had that biostimulator and I did this because there's so many other variables that are in the mix. 360 00:17:28.913 --> 00:17:30.934 Overall, it's an upward trend. 361 00:17:31.094 --> 00:17:37.676 And I know there's lots of different things that you can use to support the biostimulators, like good skincare, good lifestyle and so forth. 362 00:17:38.056 --> 00:17:41.317 But it would be hard to measure these things, right, for that reason. 363 00:17:41.797 --> 00:17:45.641 It is extremely hard to measure these and it's very hard to photograph these things as well. 364 00:17:46.101 --> 00:17:52.087 So, Dr. Sean, what potential risks and side effects should patients be aware of before considering this type of treatment? 365 00:17:52.427 --> 00:17:52.827 Absolutely. 366 00:17:52.887 --> 00:17:56.891 So we should never forget that what we're doing is a medical treatment. 367 00:17:57.411 --> 00:17:58.632 So it does carry risks. 368 00:17:59.493 --> 00:18:00.754 Worst case scenario... 369 00:18:01.575 --> 00:18:08.560 is blindness, and we can certainly get blindness with most of the biostimulators that are out there, so it's not a free shot. 370 00:18:09.741 --> 00:18:20.109 Pain, bruising, some of them form nodules or historically form nodules, but there's lots of ways that we can do to make sure that we administer these biostimulators in the safest possible way. 371 00:18:20.729 --> 00:18:40.989 And that's why, again, I would pick a medical practitioner that is experienced, that knows how to deal with emergencies in not just the cosmetic field, but also in the medical field to make sure that when we see you, you don't walk out or not walk out of the clinic being harmed or blind or having skin necrosis. 372 00:18:41.516 --> 00:18:42.656 What's the worst you've ever seen? 373 00:18:42.696 --> 00:18:46.478 And I know that you're an emergency boss and you work in cosmetics. 374 00:18:46.498 --> 00:18:55.961 So I imagine in your trainings and the conferences around the world that you would have seen some of the worst side effects and studied. 375 00:18:56.421 --> 00:18:58.882 Can you give us an idea of some of the worst? 376 00:18:58.902 --> 00:19:05.305 So I am a field officer for a group called AMET and they manage cosmetic emergencies around Australia. 377 00:19:05.325 --> 00:19:09.066 So if there's an adverse event, then... 378 00:19:09.726 --> 00:19:14.532 the call goes out to the field officers and we pick up the case and we manage the case. 379 00:19:14.552 --> 00:19:16.494 Based on what state you're in and where the patient is. 380 00:19:16.514 --> 00:19:17.274 Based on what state. 381 00:19:17.315 --> 00:19:19.777 So this weekend, there were two in Victoria. 382 00:19:20.138 --> 00:19:29.868 One was a vascular occlusion of the facial artery that was managed by a number of very experienced cosmetic physicians with ultrasound. 383 00:19:30.488 --> 00:19:41.138 with intravascular halase and very specific halase to unblock that vessel so that we don't get skin necrosis or your nose fall off basically. 384 00:19:41.258 --> 00:19:42.379 Yeah, that's scary. 385 00:19:42.459 --> 00:19:44.101 And was the result positive? 386 00:19:44.141 --> 00:19:52.448 The result was very positive but it took a number of attempts and a whole host of people to manage this process. 387 00:19:53.249 --> 00:19:53.730 this weekend. 388 00:19:53.750 --> 00:19:59.655 So luckily the patient survived and hopefully she'll have no scarring and no tissue damage. 389 00:19:59.735 --> 00:20:03.638 But certainly I haven't seen it, but I've certainly read about cases of blindness. 390 00:20:03.698 --> 00:20:15.628 So if you go into a cosmetic clinic for a treatment that's supposed to make you more attractive and you walk out with one eye blind, I think it's career ending for whoever it was that administered that. 391 00:20:16.389 --> 00:20:18.310 And it's also devastating for the patient. 392 00:20:18.530 --> 00:20:23.193 That's everyone's worry in this industry that we'd cause something that serious to a patient. 393 00:20:23.373 --> 00:20:26.175 So it's all about where it's injected, how it's injected. 394 00:20:26.355 --> 00:20:27.295 Yeah, exactly. 395 00:20:27.315 --> 00:20:33.519 And making sure that your injector or your cosmetic physician or cosmetic nurse knows their anatomy. 396 00:20:34.079 --> 00:20:39.862 And the difference between normal anatomy and sort of injecting anatomy is it's not 2D anatomy, it's 3D anatomy. 397 00:20:40.243 --> 00:20:42.084 So you've got to know A, where the vessel is, 398 00:20:42.864 --> 00:20:46.432 but you also need to know, or the nerve, you also need to know what depth it's at. 399 00:20:47.083 --> 00:20:53.186 do you know, and I say this to my husband all the time, how do you know where the nerves are and all that sort of stuff? 400 00:20:53.206 --> 00:20:56.188 Because everyone's face is like structurally different. 401 00:20:56.548 --> 00:20:58.229 Like, you know, vessels are all different. 402 00:20:58.269 --> 00:20:59.570 Bone structure is different. 403 00:20:59.910 --> 00:21:02.732 Like I know the main nerves you have an understanding, but like, you know. 404 00:21:02.792 --> 00:21:04.453 How do you pinpoint them when you're injecting? 405 00:21:04.473 --> 00:21:06.134 Because that would frighten the bejesus out of me. 406 00:21:06.154 --> 00:21:06.854 Yeah, I've got scoliosis. 407 00:21:06.994 --> 00:21:11.537 And for them to do even a spinal block, it's like this full assessment. 408 00:21:11.617 --> 00:21:12.437 It's a maze. 409 00:21:12.477 --> 00:21:13.438 Yeah, it's a maze. 410 00:21:13.478 --> 00:21:14.978 So it's like the same thing with the face. 411 00:21:15.019 --> 00:21:15.599 Like, how do you... 412 00:21:16.319 --> 00:21:18.401 No, you just kind of just do, I guess. 413 00:21:18.581 --> 00:21:19.562 Well, you don't. 414 00:21:19.922 --> 00:21:24.546 Basically, you're playing, every time you stick a needle into someone's face, you're playing Russian roulette. 415 00:21:24.746 --> 00:21:25.066 Yeah. 416 00:21:25.507 --> 00:21:30.471 But your knowledge of anatomy and your examination of them, palpation... 417 00:21:31.481 --> 00:21:32.461 you lower your chances. 418 00:21:32.922 --> 00:21:38.945 But everyone, including myself, has had times when we've injected substances into vessels. 419 00:21:39.205 --> 00:21:39.445 Yeah. 420 00:21:39.465 --> 00:21:42.346 But, you know, the important thing is that we know how to deal with it. 421 00:21:42.466 --> 00:21:43.087 Yeah. 422 00:21:43.147 --> 00:21:44.567 And we deal with it immediately. 423 00:21:44.607 --> 00:21:47.349 We don't let the patient go home and touch wood. 424 00:21:48.009 --> 00:21:49.770 I haven't had one for a few years now. 425 00:21:49.830 --> 00:21:52.431 But again, you know, like this weekend, it does happen. 426 00:21:52.651 --> 00:22:00.315 And one of my mentors, Professor Greg Goodman, who you know very well, says, if you haven't had a vascular event, then you're just not injecting enough. 427 00:22:00.819 --> 00:22:01.159 Yeah. 428 00:22:01.319 --> 00:22:02.240 Okay. 429 00:22:02.480 --> 00:22:08.565 So it's not a case that you, you know, if it's when it's going to happen if you're a high volume injector. 430 00:22:08.865 --> 00:22:09.325 Yeah. 431 00:22:09.385 --> 00:22:10.346 Gosh, that's scary. 432 00:22:10.366 --> 00:22:13.829 But yeah, if you're trained in emergency situations and you know what you're doing. 433 00:22:14.509 --> 00:22:18.012 The one on the weekend, was that a biostimulator or was that a filler? 434 00:22:18.512 --> 00:22:19.833 That was an AHA filler. 435 00:22:21.296 --> 00:22:23.597 But it happens with biostimulators as well. 436 00:22:24.058 --> 00:22:34.744 Now, there are some biostimulators that they have done studies where they've injected them into rabbit ears to try and occlude them and they've been unsuccessful. 437 00:22:34.764 --> 00:22:35.765 Okay. 438 00:22:35.785 --> 00:22:47.672 So there are some biostimulators that I would say were safer than others and there are some biostimulators that we could potentially reverse with an antidote that we have and there are some biostimulators that we couldn't. 439 00:22:48.112 --> 00:22:56.180 And I've certainly seen cases through the Alfred Hospital where one biostimulator was injected, which was quite thick, and we couldn't dissolve it. 440 00:22:56.461 --> 00:23:05.450 And the patient ended up having some hair loss, quite a large patch of hair loss due to that artery being blocked. 441 00:23:05.670 --> 00:23:10.432 Okay, so how do you manage patients who are seeking very noticeable or immediate changes? 442 00:23:10.812 --> 00:23:16.894 They come in looking one way, they want to leave looking like Kim Kardashian. 443 00:23:17.214 --> 00:23:21.255 I think the best way I can answer this is a colleague of mine. 444 00:23:22.302 --> 00:23:25.405 a woman came into her and said, I want to have Angelina Jolie's lips. 445 00:23:25.945 --> 00:23:29.429 And she did nothing like Angelina Jolie. 446 00:23:29.449 --> 00:23:30.990 There's no structure there to give her those lips. 447 00:23:31.030 --> 00:23:35.414 And she said, the day you walk in here with Brad Pitt is the day you can have Angelina Jolie's lips. 448 00:23:35.514 --> 00:23:37.196 I love that. 449 00:23:37.496 --> 00:23:39.378 This is when Angelina was married to Brad. 450 00:23:39.418 --> 00:23:41.460 But yeah, I mean, sometimes you can't do that. 451 00:23:41.540 --> 00:23:44.243 And you have to be realistic with your patients about what you can achieve. 452 00:23:44.523 --> 00:23:48.267 And sometimes they have unrealistic expectations about what you can achieve. 453 00:23:48.287 --> 00:23:51.711 And that is all driven by Instagram and filters. 454 00:23:52.091 --> 00:23:53.573 And I get it all the time. 455 00:23:53.613 --> 00:23:58.297 I see, you know, we're obsessed or we were obsessed a couple of years ago with tear troughs. 456 00:23:59.098 --> 00:24:08.245 and they were looking at Vogue covers and covers of other magazines, what they don't understand is those covers are airbrushed within an inch of their life. 457 00:24:08.285 --> 00:24:11.707 So if you actually look at the person in real life, they don't look like that. 458 00:24:11.907 --> 00:24:16.951 And that is an unrealistic expectation for us to try and achieve with cosmetic treatments. 459 00:24:17.251 --> 00:24:19.913 100% and not just airbrushing the skin. 460 00:24:19.953 --> 00:24:20.913 They change the hair colour. 461 00:24:21.173 --> 00:24:25.075 They also change the size and shape of structures. 462 00:24:25.516 --> 00:24:28.838 So they make the nose smaller, the forehead, they shrink that. 463 00:24:29.238 --> 00:24:33.200 The face that you often see is, yeah, not just an airbrush. 464 00:24:33.240 --> 00:24:34.761 It's complete remodelling. 465 00:24:34.881 --> 00:24:38.723 I'm always in so much shock when I meet like a massive celebrity. 466 00:24:38.783 --> 00:24:43.586 I'm always like, I literally walk past them and not realise and then I'm like, oh, that was – and I'm like, sit there going – 467 00:24:44.226 --> 00:24:45.529 Oh, my God, they look so different. 468 00:24:45.609 --> 00:24:45.990 Yeah. 469 00:24:46.010 --> 00:24:46.953 They look like humans. 470 00:24:47.594 --> 00:24:48.316 A hundred percent. 471 00:24:48.336 --> 00:24:54.209 How many really, really super famous people have we met in real life? 472 00:24:54.923 --> 00:24:58.505 But online, they are like, not real. 473 00:24:58.545 --> 00:24:59.406 It's almost like AI. 474 00:24:59.426 --> 00:25:00.707 And then you meet them in real life. 475 00:25:00.887 --> 00:25:02.448 They look nothing like they're... No. 476 00:25:02.608 --> 00:25:06.350 Even in our industry, just going to like events and like, yeah, influences and stuff. 477 00:25:06.410 --> 00:25:06.630 Influences. 478 00:25:06.830 --> 00:25:09.152 I'm like, whoa, you do not look like your photos. 479 00:25:09.472 --> 00:25:09.692 Yeah. 480 00:25:09.712 --> 00:25:10.032 Yeah. 481 00:25:10.052 --> 00:25:12.234 You look like you've got normal skin in real life. 482 00:25:12.274 --> 00:25:12.414 Yeah. 483 00:25:12.434 --> 00:25:12.914 Yeah. 484 00:25:12.954 --> 00:25:13.214 It's amazing. 485 00:25:13.234 --> 00:25:16.957 I think it's really important to know that, yeah, those photos you see online. 486 00:25:17.017 --> 00:25:17.597 It's all fake. 487 00:25:17.677 --> 00:25:19.558 It's all fake, baby. 488 00:25:19.919 --> 00:25:22.140 Only time you know it's real, it's when they're doing... 489 00:25:22.680 --> 00:25:25.963 stories and piece to cameras and talking, then you're like, oh, yeah. 490 00:25:26.003 --> 00:25:26.704 Yeah, videos. 491 00:25:26.764 --> 00:25:28.645 I'm sure there'll be filters and stuff on videos. 492 00:25:28.705 --> 00:25:29.666 Or Paris filter, of course. 493 00:25:29.706 --> 00:25:39.254 Yeah. 494 00:25:39.635 --> 00:25:46.140 Sean, there has been a shift toward more subtle regenerative approaches in aesthetics, and I guess because we've got the tools to be able to do that now. 495 00:25:46.701 --> 00:25:49.763 How did biostimulators fit into that broader evolution? 496 00:25:50.284 --> 00:25:50.484 Oh, yeah. 497 00:25:51.126 --> 00:25:56.308 I think that in the old days, all we had was botulinum toxin and filler. 498 00:25:56.668 --> 00:25:59.889 And so everything we saw was a nail and that's what we hit with our hammer. 499 00:26:00.589 --> 00:26:06.792 But now we have this broad toolbox of products and medicines that we can use. 500 00:26:06.992 --> 00:26:09.212 And I think people's aesthetic have shifted. 501 00:26:09.873 --> 00:26:12.854 So filler has been overused and overused. 502 00:26:13.134 --> 00:26:13.574 Yeah. 503 00:26:13.874 --> 00:26:20.696 And we had this sort of distorted aesthetic of this really doughy looking face, this overfilled face that was just everywhere. 504 00:26:20.716 --> 00:26:21.196 Puffy. 505 00:26:21.456 --> 00:26:22.116 Yeah, puffy. 506 00:26:22.736 --> 00:26:28.618 I think there are a number of celebrities that have gone back and just dissolved everything out of their face and started again. 507 00:26:29.258 --> 00:26:32.078 And then what they've come back in is said, I don't want to look like that. 508 00:26:32.278 --> 00:26:33.459 I don't want to look overfilled. 509 00:26:33.499 --> 00:26:34.759 I don't want to look fake. 510 00:26:35.419 --> 00:26:36.599 I don't want to look augmented. 511 00:26:36.659 --> 00:26:39.420 I want to look a better natural version of myself. 512 00:26:39.960 --> 00:26:42.201 So I want to age, but I want to age gracefully. 513 00:26:42.261 --> 00:26:42.941 I don't want to age. 514 00:26:45.768 --> 00:26:47.109 But okay. 515 00:26:47.289 --> 00:26:47.870 If we must. 516 00:26:47.990 --> 00:26:48.750 If we must. 517 00:26:49.530 --> 00:26:50.971 Not everyone gets to age though. 518 00:26:50.991 --> 00:26:52.072 So aging is a privilege. 519 00:26:52.152 --> 00:26:52.812 It is a privilege. 520 00:26:52.872 --> 00:26:53.773 I do say that to myself. 521 00:26:53.793 --> 00:26:54.993 So you have to embrace it. 522 00:26:55.094 --> 00:26:55.494 You do. 523 00:26:55.554 --> 00:26:55.914 You do. 524 00:26:56.074 --> 00:27:05.739 So I see the biostimulators fitting really well into that and allowing us to give a very natural aesthetic, which is what aesthetic I've always had since I started in the industry. 525 00:27:05.799 --> 00:27:07.520 I really try to push that natural aesthetic. 526 00:27:07.560 --> 00:27:11.502 And finally it's swung back to where we are today, which I think is awesome. 527 00:27:11.522 --> 00:27:12.563 Yeah, it's in a better place now, for sure. 528 00:27:12.983 --> 00:27:19.527 Is it true, Dr. Sean, that if you have had filler and then you get a biostimulator put on top, will that make you puffy? 529 00:27:19.867 --> 00:27:21.508 It depends on the biostimulator. 530 00:27:21.528 --> 00:27:26.530 Some biostimulators don't have HA in them, so they're not going to give you that hydration. 531 00:27:26.811 --> 00:27:29.372 But yes, we've certainly seen it with Profilo. 532 00:27:29.412 --> 00:27:36.836 If we put a couple of dots in the wrong spot or we go according to the exact protocol, we can get some puffiness around the eyes for 533 00:27:38.215 --> 00:27:39.636 A week, a couple of weeks. 534 00:27:39.836 --> 00:27:44.080 And like if you've got filler in your cheek and then you get prophyllo put into your cheek with that cause. 535 00:27:44.280 --> 00:27:45.601 It can draw more water in. 536 00:27:45.761 --> 00:27:56.029 And as we age, our lymphatic drainage, especially around the eye, gets very sluggish and you do get sort of little sort of maloedema and some fat pads around the eyes, which are due to fluid retention. 537 00:27:56.149 --> 00:27:57.670 And it's a very difficult thing to treat. 538 00:27:58.110 --> 00:28:06.537 So the way to do it with that particular biostimulator is just to move that point lower away from that troublesome area and try and use it that way. 539 00:28:06.697 --> 00:28:11.761 So will you say to your patients, have you had filler in your teardrop and your cheeks? 540 00:28:11.781 --> 00:28:14.824 And if you have, you'll kind of just place the injection somewhere else. 541 00:28:15.184 --> 00:28:15.664 Yeah, 100%. 542 00:28:15.705 --> 00:28:22.650 And I think it's important to know exactly when someone walks into your practice, what they've had done before and where they've had it put and what product it is. 543 00:28:23.171 --> 00:28:23.351 Yeah. 544 00:28:23.431 --> 00:28:25.393 So be honest, guys, you're not going to be judged. 545 00:28:25.533 --> 00:28:30.617 Just it's so important for the injector to know, yeah, what you've got in your face. 546 00:28:31.138 --> 00:28:37.832 100% and that's one of the first things that we'll do is go through your cosmetic history and work out exactly what we're dealing with. 547 00:28:38.444 --> 00:28:39.204 And I think that's the other thing. 548 00:28:39.224 --> 00:28:44.886 A lot of people that have had filler can go, oh, yeah, but I had it done like five or six years ago, so I won't even have any left. 549 00:28:45.466 --> 00:28:45.986 But you do. 550 00:28:46.006 --> 00:28:46.526 Yeah. 551 00:28:47.026 --> 00:28:49.107 So make sure you always be honest. 552 00:28:49.147 --> 00:28:51.228 Like what David Beckett said, be honest. 553 00:28:51.248 --> 00:28:52.928 Your list would be like five pages long. 554 00:28:52.988 --> 00:28:53.708 Yeah. 555 00:28:53.908 --> 00:28:56.089 I love it. 556 00:28:56.129 --> 00:29:00.390 Talk to us about combining these treatments with, you know, lasers or skin needling. 557 00:29:00.550 --> 00:29:04.051 Can you do that or does it need to be standalone or does it depend on the product? 558 00:29:04.662 --> 00:29:11.728 No, you can definitely combine them with lasers and high-focused ultrasound and microneedling and needling and skincare. 559 00:29:11.748 --> 00:29:17.793 That will all boost the effects of the collagen stimulation, but you just need to be doing it at the right time. 560 00:29:17.973 --> 00:29:22.998 So not have the biostimulator and then the next day have skin needling. 561 00:29:23.038 --> 00:29:24.459 Give it a little bit of time. 562 00:29:24.759 --> 00:29:25.780 Let the skin heal. 563 00:29:25.840 --> 00:29:27.341 Again, it depends on the biostimulator. 564 00:29:28.102 --> 00:29:41.676 There's a couple of people around the world doing really good work off face with radio frequency needling, high-fuel ultrasound, and one of the bar stimulators for backsides, for arms, for legs, tummies. 565 00:29:42.156 --> 00:29:46.981 I'm still reading their research at the moment, but there's some really good stuff coming out of the Netherlands and the US. 566 00:29:47.292 --> 00:29:47.932 Interesting. 567 00:29:48.012 --> 00:29:53.195 And just talking about the body then, a lot of these biostimulators can be used off face. 568 00:29:53.455 --> 00:29:53.655 Yes. 569 00:29:53.715 --> 00:29:54.095 Correct? 570 00:29:54.255 --> 00:29:54.675 Yeah. 571 00:29:54.996 --> 00:29:55.696 Your knees, Jess. 572 00:29:55.716 --> 00:29:57.657 Knees and elbows, guys. 573 00:29:57.897 --> 00:29:59.558 What do you call the elbows? 574 00:30:00.078 --> 00:30:00.978 It's a weenus. 575 00:30:01.438 --> 00:30:01.779 It's a weenus. 576 00:30:01.879 --> 00:30:02.999 Do you know what's so funny? 577 00:30:03.059 --> 00:30:14.384 I've like, when I lie on my bed on my stomach and I'm on my phone and I've got my elbows down like this, you know, resting on my bed, I literally about three seconds and go, oh, I've got to get up because I don't want to stretch my weenus. 578 00:30:16.045 --> 00:30:17.006 It's in my head. 579 00:30:17.166 --> 00:30:21.871 But now, if I can get a biostimular, I'm going to lay down on my knees. 580 00:30:21.971 --> 00:30:22.732 On my weenus. 581 00:30:22.752 --> 00:30:23.372 On my weenus. 582 00:30:23.893 --> 00:30:24.793 But I'm like, yeah. 583 00:30:24.874 --> 00:30:26.976 Put those weenuses to work, babe. 584 00:30:27.016 --> 00:30:28.097 Yeah, literally. 585 00:30:28.117 --> 00:30:28.357 Yeah. 586 00:30:28.457 --> 00:30:31.540 I think that's like, you see people and they... 587 00:30:32.000 --> 00:30:38.509 invest in a lot of treatments for their face and they look insanely good and fresh and rejuvenated. 588 00:30:38.869 --> 00:30:40.872 And then from the neck down, they kind of neglect. 589 00:30:40.912 --> 00:30:46.900 And you can actually, it's the giveaway of the sun damage and the lack of elastin and collagen and all of that. 590 00:30:47.583 --> 00:30:53.067 I think given that there's more products, we've got a bigger toolbox for the body. 591 00:30:53.227 --> 00:30:54.608 For me personally, it's exciting. 592 00:30:55.029 --> 00:30:58.131 Being a vain person, I'm like, great, I'll get my weaners done, get my kneecaps done. 593 00:30:58.151 --> 00:31:02.414 Also, you could probably even like when people have lost heaps of weight, you could probably get your fanny done. 594 00:31:04.115 --> 00:31:06.797 Well, we'll take it back a step. 595 00:31:06.917 --> 00:31:08.478 Sorry, Sean, we are friends. 596 00:31:08.838 --> 00:31:11.961 It's just like these two unhinged girls again. 597 00:31:12.081 --> 00:31:27.491 With the GLP-1s, there is one company that are marketing biostimulators to try and keep up with their rapid fat loss and the rapid weight loss that you get from your face by instituting one of the biostimulators when you start your GLP-1. 598 00:31:27.511 --> 00:31:28.192 Right. 599 00:31:28.212 --> 00:31:30.033 To try and make sure you don't face it. 600 00:31:30.313 --> 00:31:31.733 Oh, okay, sorry, yeah. 601 00:31:31.774 --> 00:31:32.054 Yeah. 602 00:31:32.274 --> 00:31:32.654 Yeah. 603 00:31:32.674 --> 00:31:33.174 Oh, there you go. 604 00:31:33.194 --> 00:31:34.714 Because remember, your face is made up of fat pads. 605 00:31:35.075 --> 00:31:37.555 So if you're losing fat from everywhere else, you're going to lose it from your face. 606 00:31:37.695 --> 00:31:40.216 And you've got this, I think it's called the Exempic Face. 607 00:31:40.436 --> 00:31:41.197 Yes. 608 00:31:41.637 --> 00:31:45.278 And there's a whole marketing campaign directed towards that. 609 00:31:45.518 --> 00:31:48.639 And they're trying to get on the front foot when they're on their GLP ones. 610 00:31:48.679 --> 00:31:49.999 We need to buy shares in that company. 611 00:31:50.020 --> 00:31:50.680 I know, we do. 612 00:31:50.880 --> 00:31:51.240 We do. 613 00:31:51.440 --> 00:31:57.422 Also, what about, I've heard that you guys can do biostimulators for stretch marks. 614 00:31:57.462 --> 00:31:57.622 Yeah. 615 00:31:58.067 --> 00:31:59.148 Is that a thing yet here? 616 00:31:59.408 --> 00:31:59.948 You can. 617 00:32:00.008 --> 00:32:03.050 It's difficult and I don't think it would be on its own. 618 00:32:03.311 --> 00:32:13.878 It's certainly off-label for most of the bar stimulators, but there is some research looking at using bar stimulators and radiofrequency needling and high-focused ultrasound to treat stretch marks. 619 00:32:14.518 --> 00:32:19.441 It's about trying to get, you know, a stretch mark has lost most of its elastin and collagen. 620 00:32:19.461 --> 00:32:21.583 You're trying to get that back in place. 621 00:32:22.684 --> 00:32:23.464 into that area. 622 00:32:23.484 --> 00:32:25.285 But I don't know how successful they are. 623 00:32:25.305 --> 00:32:29.748 I don't think it's a brilliant treatment, but there certainly is some research and some treatments behind that. 624 00:32:30.069 --> 00:32:34.992 So what advice would you give someone who is considering aesthetic treatments for the first time? 625 00:32:35.012 --> 00:32:39.135 There's a lot of our audience out there wanting to dip their kind of 626 00:32:39.716 --> 00:32:42.299 their toes in but not knowing where and how. 627 00:32:43.160 --> 00:32:54.914 I would do your research on who's injecting you and make sure that they have the skill set not only to assess you properly, recommend the treatment that you need, not what your friend had, but what you need. 628 00:32:55.875 --> 00:33:02.478 be able to manage any sort of adverse event that is going to hopefully not occur, but they know how to deal with that. 629 00:33:03.239 --> 00:33:07.321 And they're treating you holistically and it's not focused on price. 630 00:33:08.081 --> 00:33:10.202 So they give you what you need, not what you want. 631 00:33:10.450 --> 00:33:10.690 Yeah. 632 00:33:10.971 --> 00:33:11.351 Yes. 633 00:33:11.611 --> 00:33:13.313 That's what Dr. Cara McDonald said as well. 634 00:33:13.333 --> 00:33:13.433 Yeah. 635 00:33:13.453 --> 00:33:14.894 Give them what they need, not what they want. 636 00:33:14.914 --> 00:33:16.135 And also don't copy your friend. 637 00:33:16.576 --> 00:33:17.677 I do that all the time. 638 00:33:18.938 --> 00:33:21.180 I'm like, she has and she has and she has. 639 00:33:21.480 --> 00:33:22.521 No, Jess, you cannot. 640 00:33:22.722 --> 00:33:24.763 I'm like, oh, okay. 641 00:33:24.964 --> 00:33:28.327 So what is an age that you could possibly get by a stimulator's? 642 00:33:29.120 --> 00:33:31.643 again, it would vary between person to person. 643 00:33:31.663 --> 00:33:44.598 So some people who've had lots of sun damage and are smoking and are doing all sorts of bad things in their skin and they don't wear sunscreen and they've really hammered their skin will probably start earlier than somebody who has been looking after their skin and... 644 00:33:45.238 --> 00:33:52.203 has had other treatments and has a good diet, reducing carbohydrate, reducing UV exposure, not smoking. 645 00:33:52.263 --> 00:33:54.265 So it does vary from person to person. 646 00:33:54.285 --> 00:33:56.546 Also skin type will vary as well. 647 00:33:56.566 --> 00:33:57.847 Genetics. 648 00:33:58.067 --> 00:34:04.271 If you're a very fair person compared to someone who has a bit of color in their skin, your skin is going to react differently as you age. 649 00:34:04.772 --> 00:34:10.696 So it really is individualized to see different people will need it at different times of their life. 650 00:34:11.634 --> 00:34:13.696 Okay, that was so informative. 651 00:34:14.376 --> 00:34:17.058 I get overwhelmed with all the different types of biostimulators. 652 00:34:17.078 --> 00:34:17.959 And what they do. 653 00:34:18.139 --> 00:34:22.242 Yeah, but I think that was, Sean, you really made that really easy to understand. 654 00:34:22.262 --> 00:34:23.103 Thank you. 655 00:34:23.203 --> 00:34:25.104 Thanks, Jess and Bec, for having me on. 656 00:34:25.124 --> 00:34:27.186 It's been a pleasure and we'll get back to work. 657 00:34:27.486 --> 00:34:28.426 Yeah, so much fun. 658 00:34:28.446 --> 00:34:29.407 Got to save some lives now. 659 00:34:29.687 --> 00:34:31.309 Yeah, and make them pretty at the same time. 660 00:34:33.290 --> 00:34:35.672 We'll see you next week for another episode of Veinish. 661 00:34:35.952 --> 00:34:36.312 Bye. 662 00:34:36.392 --> 00:34:36.772 Bye for now. 663 00:34:36.792 --> 00:34:36.872 Bye. 664 00:34:42.982 --> 00:34:43.585 Same.