Join host Erika Audrey on this illuminating episode of Clover Club as she engages in a dynamic conversation with special guest Mike Kelleher, the brilliant mind behind Revolution Aesthetics in Decatur, Georgia. Delve into the intricacies of transforming a passion for aesthetics into a successful small business.

Explore the art and science behind popular treatments like Botox, Sculptra, Endolift and PDO threads as Mike shares insights into their transformative impact. Uncover the challenges and victories of establishing a business in the aesthetics realm, and gain valuable perspectives on striking the right balance between looking your best at any age.

In the Q&A segment, Mike addresses listener queries, providing an inside look into the world where beauty and business converge. Here's to the artful journey of transformation!

Shop Hawkins & Clover here

Check out Mike's practice here

welcome to Clover club, everyone.

2

This is your host, Erica.

3

And I am.

4

Elated to be sitting

here with my guest today.

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Mike Keller.

6

Of did I pronounce that?

7

Did I say that weird?

8

I feel like I slipped.

9

Sung it.

10

No, it sounded great.

11

Okay.

12

Thank you.

13

Um, I'm going to do it again now.

14

You keep doing it.

15

Mike Keller her.

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Revolution.

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Aesthetics.

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Botox injectables.

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Decatur.

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Yep.

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Hi.

22

Hello.

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Welcome welcome.

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For having me.

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Thank you so much for taking

the time out of your schedule.

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I know how busy you are.

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No.

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My pleasure.

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We'll see, we'll see.

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, so Mike, there's so much that

I want to cover with you today.

31

That I'm very excited about, but I thought

we could start with maybe just like a,

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a CliffsNotes of who you are and how

you got to be the injectable whisperer.

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Oh, wow.

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Not by choice.

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Oh, truthfully.

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, so I began in medicine in 2003.

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I came to Emory university and

I've been here since, , I did

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not start in the aesthetic world.

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Okay.

40

I got into it by accident.

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I was working in a dermatology practice

with a solo dermatologist and our

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patients were going to elsewhere.

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For Botox and filler.

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They were seeing us for, we had a med spa.

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And they were seeing us for lasers.

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And aesthetic services

other than Botox and filler.

47

Okay.

48

And I thought just purely from a business

standpoint, That didn't make sense.

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Missed opportunity missed opportunity.

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And also, I also felt that

nobody could take care of our

51

patients better than we could.

52

So I decided at that point in

time to try my hand at it and I

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felt well, if I enjoyed it and

I did well at it, I would do it.

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If not, I just wouldn't do it at,

I continue with doing what I was

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doing fair and, um, I thoroughly

enjoyed it and I seem to do.

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Okay at it.

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Okay.

58

Then.

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I slowly.

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I turned a, my medical dermatology

practice into an injectable practice.

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It kind of just went from there.

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Wow.

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, w what's that learning curve like.

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Well, Yeah.

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I was always a procedure oriented person.

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I was doing involved with surgery and

all those, uh, all the other aspects

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of, you know, Different aspects of

medicine or you give the surgical

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aspect and the medical aspect.

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And I always had my foot.

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In each one of those pools.

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Okay.

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So.

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You know, for me, it wasn't that big of a

jump from, from what I was doing already.

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And at that time, it wasn't as the

subspecialty of cosmetic or aesthetic

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medicine wasn't really developed.

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Okay.

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It was kind of a wild west.

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And this is, you said early two thousands.

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Uh, yeah, at least.

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So that must've been, yeah, quite no.

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Well, this was when I

got into doing this was.

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Maybe 10 years ago.

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1112 years ago, somewhere around there.

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I lose track of time.

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Yeah, it's all a blur.

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Somewhere around there, but it was, you

know, it was still kind of the wild west.

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It is still a young sub-specialty

and it was a very young subset

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really at that point in time.

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So there wasn't a lot of

the really wasn't a lot of

90

evidence-based medicine behind it.

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It was kind of, it was kind of let me

show you how to do this, and then you

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just kind of do it because this is

the way I was taught by somebody else.

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Okay.

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And so most of the studies that

were developed were just the

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studies that were put in with the.

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Products that were being.

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sold.

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So, uh, there was a lot of leeway.

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I think is probably the proper.

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I just like lit up when he said that.

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Uh, you know, kind of

figure it out on your own.

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Yeah.

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Type which doesn't hold as true today,

although it does, unfortunately.

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, but we're lucky enough today to have

a lot of evidence-based medicine

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behind and people doing studies and

it's really found its foothold in

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medicine as a true sub-specialty.

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Yeah, for the most part, I think.

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Uh, so yeah, you know, at that point in

time, it was, I was lucky enough to have

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trained with some, , Very wonderful.

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And, Very studied practitioners, , who

had been doing it for a long time

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at very good mentors at the time.

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It never would have happened

that way ever again.

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I was just, it was right time.

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Right place.

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I love that.

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And it kind of took off from there.

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That's amazing.

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How long was there in between you starting

that and you starting your own practice.

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That was a good.

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Probably a good six or seven

years, I would imagine.

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Okay.

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So I never planned on going on my own.

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Oh, really?

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No, that was not, I never considered

myself and, you know, any sort of

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entrepreneur or never wanted to develop.

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To go out on my own eye.

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That happened just by accident.

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Can we delve into that a little more.

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, cause I think it's really interesting.

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I think there's a lot of

entrepreneurs who are like, I'm not

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an entrepreneur, but I just had this

calling or it just sort of like.

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I w I had this circumstance

where the reaction was, I'm

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going to do this on my own.

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, Do you like it?

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Like, tell us, tell us the story now,

once I've done it, I could never go back.

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Yeah.

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During the, maybe the other way.

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You guys don't work with people.

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Uh, But yeah, no.

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Uh, at the time , I had

left a large practice and.

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I was contractually.

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I couldn't practice in the

city of Atlanta for awhile.

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Did due to contractual obligations.

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Which was fine.

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So at that point in time, , I was

Purely training for about four or

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five different aesthetic companies.

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Okay.

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And so I spent the time traveling

around the country, working in training

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and, you know, little did I know at

that time I was training to open a

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practice because you know, I'm a very,

I'm very curious and inquisitive.

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So when I go to other practices, not only

would I do the training that I would,

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but I would see how they ran things.

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What worked with them, talk to everybody

and try to pick their minds and

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their brains about what was going on.

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And then when it came time With

my non-compete was coming up.

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I.

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Quickly realized that I hate.

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Couldn't go back to work in.

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Uh, under, under another person's.

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You know, roof.

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Yeah.

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It was nothing against anybody else.

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I just, I had my, I had developed my

own vision and the way that I wanted

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to do things, I saw things differently.

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I didn't see a place.

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Where I fit.

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And what I wanted to do fit, not

that my way was better or worse

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than any other person's way.

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It was just different.

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And I thought there was a niche that

I fit into that that just didn't exist.

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And there you are creating it.

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There you go.

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And then it happened.

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And I, you know, I think

I had said this before.

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I was just ignorant enough.

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I knew just.

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Enough to get it going, but not

what it really took to do it.

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Well, it's funny you say that , the

episode that we have coming out next

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week is with another small business

owner, and it's a very raw candid

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conversation of like the behind the

scenes parts of running a business.

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That a lot of people don't

really share publicly.

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Right.

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, because you don't want

to sound ungrateful.

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You don't want to sound like a complainer

and you don't want to sound like you don't

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have it figured out, but at the end of the

day, Part of entrepreneurship, which I.

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I assume you would agree with

is figuring it out as you go.

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And there's, there's no handbook

because each business is unique, right?

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And you don't know, you're fucking

something up until you get a letter

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or a call or an email, or some sort.

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If it's brought to your attention,

you know, and then you're like, oh,

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well, I'll get right on top of that.

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No.

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No, you're you're right.

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Again, I would just, I knew what I knew,

but I didn't know what I didn't know.

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And that was the reason why,

you know, I kind of that.

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Yeah, I don't, I don't know.

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You know, it wasn't, I guess, I didn't

think when I started, I was like, . I

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know what I can do from a medical

standpoint, what I'm doing there, the

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business will just kind of fall along.

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I know what I needed to do.

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And when I started, I started very small,

you know, I, I worked, I rented a little

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nine by 11 room out of a preexisting spa.

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And worked out of there until I built up.

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And I, you know, I was lucky enough

to have a lot of patients who,

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who still wanted to see me from

the years that I had been doing

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it in Atlanta and around Atlanta.

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That's awesome.

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Yeah, so that was good.

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So I had that to fall back on

and the other good thing was.

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And I think a lot of

entrepreneurs will tell you this.

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W I had, I had other.

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Sources of income.

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No, that wasn't my only thing.

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So when I first started out, I was seeing

patients maybe one or two days a week.

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And then I was training

for a couple of companies.

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And then when everything started

getting rolling, that's when I

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consolidate it and I was like, wow.

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I have to do now.

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I have to sit down.

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And make a decision.

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Yeah, this has legs.

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This.

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Am I going to do this?

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Commit to this and.

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Or am I going to kind of fiddle

around and muck around and not,

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and that's when I just sat down.

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I was like, well, I'm going

to have to commit to this.

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Because I want to.

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And then at that point, there was no, turn

it back because failure was not an option.

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Oh, We were going to

succeed and that was it.

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So I didn't even, it never even occurred

to me that it would not be successful.

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I love that.

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I think you need a healthy dose of.

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Ego, not in the negative way.

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But just enough to keep you

being like, I will not fail.

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, cause if you don't,

it's real easy to fail.

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Yeah.

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Yeah, I just, but that's it.

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I don't.

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Yeah.

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I don't know that.

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Ego, I guess, in a sense,

but not kind of like so much.

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It wasn't that at all?

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It was like, I there's no

other option like this.

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Right.

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This is the only thing I can do.

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Yeah.

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This is the only option

I have available to me.

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It's either this or nothing, then

it's not going to be nothing.

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So it's going to be this.

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And that's it.

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Did that feel kind of crystal clear when

you got to that point of things or did

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it take a lot of hemming and hawing?

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No once I'm set my mind to it,

then that was, that was it.

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And you know, it really.

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Everything kind of came together.

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When I set foot in the

location that I have indicator.

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Now, the minute I walked in

there, I could fully visualize

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everything, how I wanted it to be.

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It just made sense.

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And I could see it.

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And then right then and there, it

just, everything came together.

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I was like, well, this is, this is what

I was meant to do at this point in time.

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I love hearing stories like that

because the same applies to me.

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I looked at so many spaces when

I was opening my own business.

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And when I walked in the front door

of where we're sitting right now, I

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had this overwhelming feeling of like,

oh, this is the one, like, this is it.

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And our spaces are , kind of

similar in the fact they're kind

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of lofty and funky and cool.

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And it's not just this.

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New construction for white walls.

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Like.

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You and I are too cool for that.

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But I didn't want it like that.

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That would go against

everything that I stood for.

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You know, I like the

floors were marked up.

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I liked that.

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Exposed brick and the sunlight.

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And it was just, you know, It spoke to

me when I walked in and I just knew it at

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that point in time, I feel the same way.

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And Mike and I both have our

business littered with guitars also.

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That's what makes it comfy?

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It makes it comfy.

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Yeah, I can't imagine a

space without a guitar.

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I know it's just weird.

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, So Mike, this is not a question I

was prepared to ask you, but I'm

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sitting here just staring at Mike and

I'm like, damn, your skin is glowy.

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Well, it's like, but you look, you

look like you've got nothing done,

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but obviously given what you do.

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This is pure.

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I, I am willing to share.

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Of course I have no secrets

when it comes to my skin.

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What do I do?

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I do Botox.

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Okay.

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Do you do what you're set?

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Can you do.

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I have other people do it for me.

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Okay.

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I tell them what to do with though.

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Okay.

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That's like me in here.

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Dick about it.

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Uh, and then , I use the skincare that

I, , use at the practice, which is what.

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SkinMedica brand skincare is what I use.

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Yeah.

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And, , I only use, I only.

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For me, I recommend one line.

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It's the line that I use.

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And I figured if I'm gonna, if I'm

gonna use it, then that's what I

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would recommend for my patients.

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Yeah, absolutely.

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Yeah.

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So that's basically it.

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I'm just going to let it go.

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I'll do.

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I don't do things to myself.

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Really, I just, I'm not that person.

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I don't, I.

320

I'd rather, I will put appeal on

myself occasionally from time to time.

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Okay.

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That's it.

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Wow.

324

Yeah.

325

Thank you.

326

I'm really it's maybe it's just because

of the way the pop screen is hitting camp.

327

Like your face moves so nicely

when you talk should be natural.

328

Yeah.

329

It's supernatural.

330

Well, and that's why.

331

Okay.

332

Well, I just need to share like

a little backstory of how I

333

even found myself in Mike's.

334

Um, Talented hands.

335

, so I probably waited a little

too long to start getting Botox.

336

Um, and I was kind of, my friends will

laugh listening to this episode because

337

I was a little self-righteous about

not doing it for a little too long.

338

And now when I've got friends

of clients who are like, when

339

should I start getting Botox?

340

My answer is one to three years before

you start wondering if you need it.

341

, cause that's definitely how it was for me.

342

So the first place that I went

came very highly recommended.

343

And it was a horrible experience.

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The first time I went, this lady

hard sold me on thousands of

345

dollars worth of a crazy shit.

346

, she ran late.

347

, but I was like, okay.

348

I, uh, like she seems

like she's got a plan.

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I'm not a professional.

350

I'm ready to invest in my.

351

Healthy aging, like, okay.

352

So I drop a bunch of money and the next

time I see her, she has no idea what we

353

did last time, who I am, what plan we had.

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And one of the things she had

had me do was sculpture, which.

355

She had discussed needs two

or three treatments.

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So I was thinking.

357

She's going to kind of lead the way on

when I'm doing this again, type of thing.

358

She had no idea.

359

, and that really annoyed me.

360

And in hindsight, finding out

more details about Sculptra, which

361

were not fully relate to me, I'm

pissed that that is in my face.

362

, so not a great experience.

363

And so then from there, I

hopped to another place that was

364

recommended to me by a friend

and this place I would get there.

365

The guy would come in like

30 minutes after, like he was

366

literally not even in the building.

367

And then he wanted tips.

368

So I feel like anybody who wears

like fucking scrubs to work.

369

Should it be getting tips.

370

That's a point of contention as well.

371

Okay.

372

I figured like later on, I want

to get into like etiquette stuff,

373

but that's a huge one for me.

374

I was like, this feels like a

red flag and I went to him twice.

375

The first time I went, it

was like 300 ish dollars.

376

And so the second time I

went back and it was good.

377

, Other than the fact that I was

like, do I have to tip you?

378

, I do a gratuity free business

here for over a decade.

379

I've never accepted a tip under

this roof and it's been just fine.

380

I truly believe in just

charging what you're worth.

381

, so I went back to that same guy and I

said, Hey, like last time was great.

382

, I trust you.

383

Like just whatever you

think my faith needs.

384

And he was like, okay girl, I got you.

385

, I go to checkout it's 900 plus

dollars and I was like, what the fuck?

386

, you know, It's total sticker shock,

no conversation about I'm going to

387

just like douse you in fucking Botox.

388

, and then I was like, never again.

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And that is when I talked to Mandy

and Mandy sent me to you, Mike.

390

And then, , as soon as I met you, I was

like, oh, this is my injectable home

391

because you are like a normal person

who acts like a fucking professional.

392

And, uh, I've been happy ever since.

393

Well, thank you.

394

Thank you and my face moves and I'm

sending you all my friends and clients.

395

Yes.

396

Thank you.

397

I appreciate that.

398

Yeah, there's a lot.

399

Yeah.

400

But then what what's the story

that you have is not atypical.

401

I and that sadly.

402

You know, that's the one that's.

403

And this is again, I'm not

bashing anybody at all.

404

At all, it's just, , it's

a weird business.

405

And the weird thing about this business

is that you have medical providers.

406

We're not trained to take money.

407

From people.

408

Right.

409

Yeah.

410

The business side of things.

411

Exactly.

412

Right.

413

Yeah.

414

Uh, medical people are horrible business

people, but in medical school or whatever

415

nursing school, you don't have a class

on how to talk to a patient about a.

416

, financial transaction because

everything's done under insurance.

417

Yeah.

418

So that's a hard conversation for

a lot of medical providers to have.

419

And I, when I first started out, I

had one of my medical assistants.

420

She was the one who

talked about everything.

421

Or, you know, I would

recommend the treatment.

422

Like you would any medical treatment and

then she would kind of be the closer.

423

Is what they're called.

424

And this is a common, this is a common

thing, especially in surgical practices.

425

Plastic surgical practices

where everything's cash based.

426

Yeah.

427

So it's a tough discussion

to have, and I think.

428

A lot of providers just aren't

comfortable having that conversation.

429

So what ends up happening is the patient

sits down and they're like, I don't know.

430

Just whatever you think.

431

, and then you go to check out and you're

stuck with a huge bill and you're like,

432

man, that was not quite what I, yeah.

433

I mean, you know, to a certain

extent what, whatever you think.

434

Yeah.

435

, so that's a discussion that

has to be had with a patient.

436

And it's just tough for a lot

of medical providers because

437

they don't know how to have it.

438

I agree with that.

439

And I think that that arches over.

440

Really all service industries.

441

I mean, I know.

442

I'm not in this anymore, but I used to

do a lot of education in my industry.

443

And I would always force people

to have , kind of like role play

444

conversations of how to talk about the

finances of doing hair, because I'm

445

not going to give you a $500 service

that you don't know you're getting.

446

And then have, you know what I mean?

447

Like the point is to have everybody

comfortable and feel good.

448

I never want somebody at the

counter to have sticker shock

449

or to be like, oh my God.

450

And cause you know what they're

gonna do, they're gonna leave.

451

And they're going to text their

friends and be like, holy shit.

452

And they're going to smile to.

453

At your face and then they're never

going to come back and it's just, you

454

gotta be a confident professional.

455

Believe in why you charge what you

charge and what it is and the value

456

in that and let your customer decide.

457

But I do think it's, if you don't

practice that muscle, it can be

458

intimidating and it can be scary.

459

And I get it.

460

But you got to do it right.

461

Uh, discussion.

462

I have, , commonly with

medical providers at practices.

463

Is it.

464

This is the thing that

they have struggled with.

465

So the way I've always felt

about it as this, I, I've never

466

tried to sell a patient anything.

467

It's not selling.

468

I came.

469

Medical provider and I'm prescribing

treatment regimen for them.

470

And this is, this is what it's going to

take to get you to this point in time.

471

And this is what this is, unfortunately.

472

The cost of it.

473

Right.

474

So, if we're going to get to

this place, whatever that place

475

is going to be, this is what it

could possibly take to get there.

476

And it doesn't have to happen

in a day and in nor should it.

477

You know, most of this is staged out over.

478

Uh, over a period of time,

whatever that recommendation is.

479

But it's not me selling you and I

don't want to sell you anything.

480

I don't care.

481

Right.

482

You're asking my professional

medical opinion on something.

483

This is it.

484

This is what it takes to get there.

485

And that's it.

486

And we'll have that discussion

and that's the way it should be.

487

I totally agree.

488

Well, and I love that the first

time I met Mike, I was like, I

489

just don't want sticker shock.

490

Like I that's of one of

the first things I suppose.

491

I actually, I actually remember this guy.

492

I'm just like, tell me

how much it's going to be.

493

And let's make sure that

I either can afford it.

494

Or, you know, if we need to

pivot or edit or whatever.

495

It's so simple.

496

And even I saw you semi recently and

I was like, do I need temple filler?

497

And you just like laughed.

498

And you're like, no.

499

Like, I appreciate that.

500

You're not like, Hey,

if you'll pay for it.

501

Absolutely.

502

Right.

503

Yeah.

504

I mean, that's the.

505

Do no harm.

506

Yeah.

507

Still applies.

508

This is a medical sub-specialty.

509

This is medicine still.

510

Yeah.

511

As many there's a lot of people don't

feel that way, but, but it is medicine.

512

So I look at it that way also.

513

And I, I have a client who I

absolutely adore who I sent your way.

514

She's probably listening

to this right now.

515

, The first time she got Botox,

she got it from her dentist

516

and I was like, yeah, girl.

517

Like I didn't give it.

518

Do administer Botox.

519

Well, I would argue this one.

520

Wasn't , uh, she was hilarious

and I was like, please go to Mike.

521

Who is that?

522

And I watched people to go to their

dermatologist for injectables and I

523

would venture to say, Just based on

my observations with all of my clients

524

and staff, it really takes somebody

who's doing injectables all day

525

every day to truly get the art of it.

526

If it's just a subtraction

of your, practice.

527

I can tell a difference in the quality.

528

Yeah.

529

This is, this was the turning

point for me when I first started

530

doing this, I was still in the

dermatology practice and I was doing.

531

Injectables a couple of days a week

and then still doing dermatologic

532

surgery and whatever on the side.

533

And I went and I did a training.

534

With, uh, I was fortunate

enough to do this was in the.

535

Uh, the product.

536

Juvederm Voluma first came out.

537

So, whatever timeframe that was,

but there's a very well-known

538

Brazilian plastic surgeon.

539

Who's known all over the world.

540

He was, he was giving this

quote-unquote masterclass that day.

541

And I was circumstances happened

where I got to go in that

542

bay and trained under his eye.

543

Cool.

544

Yeah.

545

, And at the end of the day, it was me.

546

I had no business be in there, believe me.

547

Cause there was a lot of very

accomplished plastic surgeons

548

from Atlanta who were there.

549

And , he looked out at us, we had

spent eight or 10 hours with this guy.

550

And, , he looked at everybody and he

said, you know, how, how many are you?

551

How many of you here are injecting?

552

Just doing cosmetic

injectables, full time.

553

And nobody raised their hand.

554

Oh, interesting.

555

And he looked and he's like, why

are you here wasting my time?

556

And it really, that hit me hard.

557

And I, and I kind of

didn't think about it.

558

And that's the way that cosmetic

injectables are looked at.

559

It's something we do on the side.

560

It's a good money.

561

Earner.

562

People want it.

563

So we'll just do it.

564

And that's when I realized I was

like, God, you know, , if I'm

565

going to be good at this, I need

to commit to doing this full time.

566

And then I started thinking about it.

567

It made more sense.

568

I'm not going to go to my

cardiologist to get my.

569

Toenails taken care of.

570

You know, I love it.

571

That's where your mind.

572

probably not had enough

or too much coffee.

573

One of the two.

574

Um, but you know where

I'm going with this.

575

For me.

576

It was like, if I go to be the best

that I can possibly be at this, I

577

need to commit to this full time.

578

I'm not saying anything other than for

me, that's the way that it had to be,

579

because that's just the way that I am.

580

Yeah.

581

, and so at that point in time, that that

was where it turned the corner for me.

582

I was like, that's it, this

is all I'm going to do.

583

And I'm going to try to do this

the best that I possibly can.

584

I'm going to learn

everything I can about this.

585

And this is what I'm

going to do with that.

586

That was that it was that.

587

Moment.

588

It was just like, oh man.

589

Yeah, he's absolutely right.

590

I love a strike of clarity like

that, that really just kind of

591

solidifies something to you're already

doing, you know, punch, you know?

592

Yeah.

593

It was w it was much needed.

594

Absolutely.

595

And I'm curious if anybody else in that

room with you had a similar reaction,

596

or if they were just like, eh, No.

597

I know the.

598

I still have no, all of them.

599

Okay.

600

They're all doing their thing.

601

Okay.

602

That's so interesting.

603

, I was so young and

impressionable at the time.

604

Yeah.

605

I'm so glad that you were in restaurant.

606

Because my forehead has

benefited from your.

607

Thank you.

608

But

609

seriously, it's so true.

610

, so Mike,

611

Is there anything that you

wish people knew about?

612

, Preparing for an injectables appointment.

613

What to wear any little

detail where you're like, oh,

614

I wish more people realized X.

615

Don't wear makeup.

616

Okay.

617

There's probably a number.

618

As, as a good.

619

It's a good rule of thumb.

620

Other than

621

anything other than Botox that

you're scheduled to come in for?

622

I would, I would, Botox is easy.

623

You can wear all the makeup.

624

You.

625

And we'll wipe that off.

626

That's fine.

627

But anything else is, cause you

know, boat, , makeups dirty.

628

Yeah, that's true.

629

Yeah.

630

They use that brush over and over again

and it collects all kinds of stuff.

631

So.

632

Anything that we can do.

633

Of course we'll clean you up and all that,

but it's also, it's nice not to have a ton

634

of makeup on for most of these procedures.

635

Yeah.

636

I try to advise my patients.

637

They just don't look at social

media and follow people.

638

And multiple times I've sat

down in my chair and I'm like,

639

I just saw this tick talk.

640

And I'm curious if I

need blah, blah, blah.

641

And you're like, oh God.

642

Yeah.

643

Yeah.

644

I have a theory.

645

And I wonder if this resonates with you.

646

So, uh, obviously as people who

work with the public, , they're

647

exposed to, uh, all of these.

648

Tick talks and Instagram influencers

and things like that in our industry.

649

And this is my theory.

650

I am a busy professional.

651

I booked my appointments

a year in advance.

652

You can't get an appointment with me.

653

I don't have time to put together

a fucking reel on new Bali

654

OSH techniques, for example.

655

So what I wonder is if the rise of

social media is giving a platform to

656

unbusy professionals that can create the

illusion that they're busy, successful

657

professionals, well, people like you

and I are busy, like actually working.

658

But then people are getting

bad information and it's kind

659

of like diluting our industry.

660

Does that make sense?

661

No, it makes sense.

662

I just don't know, because I don't

really know any of these people.

663

I go to like influencers.

664

Yeah.

665

I got to, you know, I got to meetings

in just because of who I'm, some of the

666

companies, you know, the big company.

667

I'm a big company I'm associated with.

668

So we do these big annual medians

and everybody shows up there and.

669

, I typically don't know who the, who

anybody is just cause I, I don't care.

670

Lovely.

671

I mean, that's not nothing against them.

672

I mean, I have to find it.

673

I don't care.

674

So I hope that makes you cool.

675

All the way.

676

Out of touch maybe.

677

Um, but, uh, I don't know from, I.

678

I was thinking, you know, it's funny.

679

Cause I was thinking

about this the other day.

680

I don't know if it's the need to, just

to have this validation that drives

681

it, or if they're just not busy in.

682

Enough, but a lot of people

do create a lot of content.

683

Huh?

684

Yeah.

685

But I'm like, where do

you have the time for it?

686

If you're actually busy.

687

Yeah, that's a good point.

688

I don't have time for anything.

689

Correct.

690

Like, I am busy from the second I walk

in the door for the second I leave.

691

Right.

692

Uh, it's a commitment.

693

Maybe they have a whole team.

694

They probably have a whole team of media,

people who do all this things for them.

695

Maybe, maybe some of them,

some of them, for sure.

696

Yeah.

697

Not at all.

698

Yeah.

699

I don't.

700

But, yeah, I don't know

what it takes, so I guess.

701

What's the threshold.

702

Is there a certain number that

puts you in that category of

703

being like super ultra influencer?

704

, that's a great question.

705

I think anything over 10,000 followers.

706

Yeah.

707

, like, I know like if I want to

start monetizing this podcast,

708

they want to see like a thousand

downloads on average per episode.

709

Okay.

710

Which is simultaneously

a lot and not a lot.

711

Right.

712

So I think that if you're talking

about like a, a skin or hairdresser

713

influencer, anything over 10,000, like

you're, you got some traction there,

714

unless it's just bots that you've

purchased or something like that.

715

But yeah, that's also a whole thing.

716

And I've heard about that too.

717

You know, I don't know.

718

I.

719

It's never been an, I think early on I had

people contact me who were like, Hey look.

720

If you do such and such for this.

721

, you know, like an agent or something,

contact me if you do this for

722

my client, like, we'll send you.

723

People and we'll put you out there.

724

And I kind of looked at her

and I was like, I don't really

725

like nothing against you.

726

I don't really want the people that are.

727

Associated with you.

728

Like that's not my people.

729

The people who I want as patients.

730

It's not that they're bad.

731

It's just, that's not

kind of where I'm at.

732

Yeah.

733

That's not what I do.

734

Yeah.

735

That's not your probably

we're not compatible.

736

In a professional relationship.

737

Um, so yeah, I don't know how that works.

738

Really.

739

Yeah.

740

It's super interesting.

741

One thing I'll do, whether it's

like a product line I'm considering

742

bringing on or people I'm considering

working with or whatever is I'll go

743

to their social media, of course.

744

But if they have a big number of

followers, I go right down to their posts

745

and I'm like, what's your engagement?

746

Like, how many people are actually

liking and commenting on these posts?

747

Um, because like I suck at social

media, like both of all of my

748

accounts have not huge followers.

749

But the followers I have are real

clients who are engaged, who are

750

spending money and that's what matters.

751

So I think there's this rise of

like the micro influencer where

752

it's like, they actually have.

753

An audience that engages.

754

Cause it doesn't matter if you have

a hundred thousand followers, if

755

they're not liking commenting or

participating in your brand, you know?

756

Right.

757

, but it gives the illusion that,

that person's pretty cool.

758

Well, Well, as long as

it makes them feel good.

759

Hello.

760

I don't know.

761

Don't care.

762

I don't know.

763

And that's that.

764

I was told I had to do it.

765

And it's.

766

We put things out on it and it's

very minimalistic and it's kind of

767

like, here's a new thing we're doing.

768

Like, here's the results

you get from something.

769

Yeah, just because I run everything,

you know, in the webpage and I just

770

don't have time to put that stuff.

771

A lot of before and after type thing.

772

So it's just, it's a very

quick and easy like hair.

773

This is.

774

You know, this is something we

did today with a new procedure,

775

and this is what it looks like.

776

Yeah.

777

Here you go.

778

Well, Mike, that's a good segue.

779

Are there any new procedures

or offerings that.

780

You are doing that.

781

You're super excited about.

782

Yes.

783

, so earlier this year I brought

on a device called endo lift.

784

I was hoping you had mentioned that.

785

Yeah.

786

So it's the only one in

the state of Georgia.

787

It was a matter of fact.

788

No big deal.

789

No.

790

It's a great procedure.

791

It's been, it's a, it's a laser.

792

A non ablative laser that's been

quite popular in Europe for about,

793

it's got a good 16 or 17 years

of literature and data behind it.

794

So it's not an LMU.

795

New procedure is Europe like the hotspot?

796

, do they get all the cool stuff first?

797

And then it trickles down.

798

Typically originates.

799

And, , so this is interesting.

800

I was having a discussion

with a patient the other day.

801

Cause we have, we do have a new, there's

a new injectable product out now, too.

802

Okay.

803

Through the company

Allegan called skin Vive.

804

And we can talk about that.

805

Okay.

806

Um, but I, the common misconception is

that everything goes over there first

807

because it's easier to get approved.

808

Okay.

809

It's quite a bit harder.

810

Exactly.

811

Okay.

812

So it's way harder to get things approved

over in the EU before it is over here.

813

Standards.

814

Exactly.

815

Way higher standards.

816

So by the time we get most of these

products, they have a good seven, eight.

817

Nine years of data and use behind them

before we even get our hands on them.

818

So when they come through our

FDA, a lot of these injectables.

819

Specifically have a year of

data that are put into them.

820

And then we get them released to us.

821

And then we screw it up for awhile

because we don't listen to anybody.

822

Cause we think we know everything.

823

And then it goes into play, but yeah.

824

So typically these products

are in the EU and South Korea.

825

As a big place.

826

Cause that's one of

the, largest consumers of.

827

nOn-surgical cosmetics.

828

The world.

829

Yeah.

830

So we get those.

831

, so I, Brought endo lift

on earlier this year.

832

And of course, before I bring any new

procedure on, I do quite a bit of research

833

and data seeking and talking to people.

834

Who've done it for awhile.

835

And.

836

So I brought in to lift

on due to the fact.

837

That I could do things with that, that

I can't do with any other devices.

838

So with endo lift, it is a, it's a laser.

839

That's on a tiny little fiber

optic cable that ranges anywhere

840

in size from 300 to 400 microns

in width, which is three to four.

841

Freedom in English.

842

So.

843

Uh, one piece of paper.

844

Because there's a hundred microns.

845

Oh, okay.

846

And width.

847

Okay.

848

So three to four pieces of paper.

849

And it's a tiny little fiber optic cable.

850

And we can do a couple things.

851

Whether we can tighten tissue

with it, I can do pure lipolysis

852

or fat burning with it.

853

So it opens up a lot of avenues.

854

That I couldn't address previously.

855

Okay.

856

So now, you know, if we need

to burn a double chin out, I no

857

longer nothing against Kybella.

858

I just, I can do it in 30 minutes and

an afternoon at a fraction of the cost

859

without the downtime and be done with it.

860

That's huge.

861

And are the results permanent?

862

Well, nothing's permanent.

863

That's probably good that we don't really

want permanence to see in our life.

864

Do we.

865

I don't think so.

866

I'd like to permanently

win the lottery through.

867

Every year.

868

Yeah.

869

No.

870

You know, for our sake today,

once the fat is gone, it.

871

This is not necessarily true,

but it's gone for the most part.

872

Hopefully we'll continue to

age and your skin will continue

873

to get more lax over time.

874

So that may have to be repeated,

but hopefully in the meantime,

875

we're doing other things in order

to keep your skin intact and.

876

Yeah.

877

Up in shape.

878

So if somebody does this for their

chin, for example, , is it something

879

where maybe is it like an every five

to 10 years they'll want to come back

880

and do a touch-up or it just sort of

depends on what we're seeing in Europe.

881

It's about every three to

four years and that can, and.

882

That can change based upon the patient.

883

Yup.

884

That's so interesting.

885

Yeah.

886

Where else.

887

Can you use it?

888

I brought it on to, I brought it

specifically into practice for

889

under the chin double chin jowl.

890

Jabil's and eye bags.

891

Ooh, because those are the areas

that are the toughest to treat.

892

I look, nothing's going

to replace surgery.

893

It's just not.

894

Like diet surgery.

895

Yeah.

896

It's for patients who we can

rectify it without surgery.

897

They're not surgical candidates.

898

For any number of reasons

they don't want surgery.

899

They're just not quite there yet.

900

Yeah.

901

, whatever the reason may be.

902

So it's something that we can do.

903

Either.

904

Solely on its own.

905

Sometimes we'll do these

procedures in lieu of surgical

906

putting off surgery for a while.

907

If need be.

908

, So it could be a nice adjunct therapy.

909

But I would never tell anybody that.

910

You know, and for a lot of.

911

If they were wanting surgery, then,

then we need to refer to surgery.

912

Okay.

913

Yeah.

914

And do you have a plastic

surgeons that you work with and

915

that you refer your patients to?

916

And we work with the cosmetic surgeon

that I do have a two or three plastic

917

surgeons that I will refer out to.

918

Okay.

919

Quite trust.

920

Absolutely and believe me election.

921

If somebody comes in and they.

922

I think there are surgical, then they,

that I will refer to them to surgery.

923

That's nice.

924

Well, Well, I think it's

incumbent upon me to.

925

You know, from a moral and

ethical obligation in order to get

926

patients in the right channel and

to get, do what's best for them.

927

It doesn't benefit me.

928

If we're doing something.

929

You're not happy.

930

I'm probably not going to be happy

because I'm not ever really happy.

931

Just

932

believe it.

933

I am going to be the harshest critic

of everything that's done in my office.

934

Um, Which is unfortunate.

935

Um, Nobody around me, but, , For patients.

936

Yeah.

937

No, it's it's good, but

we, patients need to be.

938

We need to take care

of do the right thing.

939

It's all.

940

As long as they're doing the

right thing, then, then everything

941

else will fall into place.

942

Well, I certainly agree with that.

943

, I have noticed a rise

of people getting chin.

944

Lipo.

945

So if full-blown lipo is like a 10 out

of 10, cause obviously that's surgery.

946

Um, where would endo left

fit on that spectrum?

947

If somebody was wanting

to treat that same area?

948

Depends upon the presentation.

949

So if I, if it's a typic, if it's

a younger patient who has a little

950

bit of a fat pad underneath there

that would have quote unquote ban a

951

Kybella patient previously, right.

952

We can take care of that

in 35, 40 minutes for.

953

You know, again, a fraction of the cost.

954

For what Kybella would take.

955

They might have a couple of days of

soreness, maybe a little bit of numbness

956

in the area, just from the inflammation.

957

It can take.

958

Yeah, three, four months to see

the final result within that's

959

just the way the body heals.

960

Sure.

961

But.

962

I've got nothing against

Kybella, but again, The.

963

You know, the issue with Kybella and what

patients sometimes have run into is that.

964

But I found over years cause I w worked

with Kybella when it first hit the

965

market, before it was called Kybella.

966

And the issue with Ty

Bella always was that what?

967

It's expensive.

968

Aha.

969

So it's, you know, it's.

970

It's not only expensive for the patient.

971

It's not cheap for the provider.

972

I'm going to let you in, you know,

one of the dirty little secret in.

973

And this is just the return on investment

is not high for a provider with Kybella.

974

Okay.

975

We don't make a lot of money off Kybella.

976

Interesting.

977

That's not why I don't recommend doing it.

978

I just have a better way to do it now.

979

Right.

980

But even previously, I tend to

refer patients out to another

981

procedure, whether it be full-blown

lipo or something like face tight.

982

Iraqi tight or something else that

just because the investment that

983

they would've put in, you know,

they would have, it typically takes.

984

Uh, two to four treatments

in order to see something.

985

And then it's very subjective.

986

Right.

987

Is the patient happy with it?

988

Right.

989

And that's, I mean,

are they, I don't know.

990

Are you going to, but they have to

be done six to eight weeks apart.

991

So are you willing to have two to

four treatments spaced six to eight

992

weeks apart at about somewhere between

a thousand to $1,500 a treatment?

993

Damn.

994

So now you're into it like five grand.

995

Yeah.

996

And then you could literally just.

997

Just go right down and get it done in an

hour and be done with it for six grand.

998

Yeah, that's always my feeling about it.

999

I think that's incumbent upon me

doing non-surgical procedures.

00:36:46,821 --> 00:36:47,661

I have to weigh.

00:36:48,141 --> 00:36:51,111

The not only at risk benefit,

but I have to weigh the.

00:36:51,501 --> 00:36:53,721

I not trying to manage your checkbook.

00:36:53,811 --> 00:36:54,201

Right.

00:36:54,321 --> 00:36:57,141

But I also have to look at the financial

consideration if we're going to do some

00:36:57,171 --> 00:37:01,341

that thing from a non-surgical standpoint,

and it's going to cost that much.

00:37:01,341 --> 00:37:05,481

It's up to me to say, look, I think

you need to go and think about a

00:37:05,481 --> 00:37:07,371

more permanent solution to this.

00:37:07,401 --> 00:37:08,721

If it's going to cost that much already.

00:37:08,721 --> 00:37:11,051

Cause once I started pricing

you into the surgical realm.

00:37:11,181 --> 00:37:12,651

We need to investigate that.

00:37:12,951 --> 00:37:14,751

Whether you decide to go that

route, I'm going to leave that

00:37:14,751 --> 00:37:17,361

up to you, but you need as much

information as you possibly can.

00:37:17,691 --> 00:37:21,231

I really, or you make before you make an

informed, cause you can't make an informed

00:37:21,231 --> 00:37:25,161

decision on this, unless you go with,

unless you go and talk to people, right.

00:37:25,581 --> 00:37:30,741

I think a lot of people hear the word

surgery and like a barrier pops up.

00:37:31,121 --> 00:37:34,031

, but I think people would be surprised

how many people are walking around

00:37:34,061 --> 00:37:39,791

with all sorts of surgical procedures

and how kind of easy it is these days.

00:37:40,451 --> 00:37:44,284

Like, you know, this is kind of

my talking point is we don't know,

00:37:44,284 --> 00:37:45,544

unless you go talk to somebody.

00:37:45,634 --> 00:37:45,994

Sure sure.

00:37:46,534 --> 00:37:49,054

Going and sitting down and

talking to the surgeon or whoever

00:37:49,054 --> 00:37:49,954

you're going to talk to you.

00:37:50,554 --> 00:37:52,474

You don't know what it involves and.

00:37:52,714 --> 00:37:54,904

Just because you go in and sit in

the office and talk to somebody that

00:37:54,904 --> 00:37:57,634

doesn't mean that you are, they're

going to, you're not going to drug you

00:37:57,664 --> 00:38:01,114

and pull you back and, you know, Just

perform surgery on you without you

00:38:01,114 --> 00:38:02,644

knowing it, at least now you might know.

00:38:02,734 --> 00:38:05,554

And then if you decide, well, that's

not quite for me, then it's not for you.

00:38:05,584 --> 00:38:05,974

Yeah.

00:38:05,974 --> 00:38:08,494

But then you're making an informed and

educated and then there's just some

00:38:08,494 --> 00:38:12,514

patients I see, like, Hey, I got, we

cannot do this from a non-surgical stable.

00:38:12,514 --> 00:38:14,134

Like you, this is surgery.

00:38:14,164 --> 00:38:18,484

What you want, what your expectations

are, surgical expectations.

00:38:18,484 --> 00:38:19,354

I can't do that.

00:38:19,564 --> 00:38:20,824

Like we cannot do that.

00:38:20,824 --> 00:38:23,074

So this is the way I think you

need to go save your money.

00:38:23,524 --> 00:38:25,114

Don't blow your money with anybody.

00:38:25,264 --> 00:38:27,094

Like not me, not with anybody else.

00:38:27,154 --> 00:38:27,604

Right.

00:38:27,694 --> 00:38:31,264

Cause unfortunately, If I have that

discussion, some people are going to

00:38:31,264 --> 00:38:34,474

go find somebody else and somebody

will do what you want to have done.

00:38:34,654 --> 00:38:35,464

Somebody will do it.

00:38:35,944 --> 00:38:37,294

Yeah, that's the scary part.

00:38:37,954 --> 00:38:38,944

Let me ask you this.

00:38:39,034 --> 00:38:42,004

So I'm in my mid thirties and a.

00:38:42,514 --> 00:38:43,474

Obviously.

00:38:43,924 --> 00:38:45,034

Um, AGA two.

00:38:47,344 --> 00:38:48,484

Mike's prematurely gray.

00:38:50,434 --> 00:38:52,264

You have the same natural

hair color is my best friend.

00:38:52,264 --> 00:38:54,004

And she's also thinking

my hair is turning black.

00:38:54,034 --> 00:38:54,304

Again.

00:38:54,304 --> 00:38:54,754

It's weird.

00:38:54,784 --> 00:38:55,804

I don't know what's going on.

00:38:56,254 --> 00:38:56,674

Is it really?

00:38:56,764 --> 00:38:57,274

Yeah.

00:38:57,334 --> 00:38:58,684

We are all over.

00:38:58,684 --> 00:39:00,124

It's just getting blacker.

00:39:00,184 --> 00:39:01,084

I don't know what's happening.

00:39:01,204 --> 00:39:01,984

Interesting.

00:39:02,044 --> 00:39:02,074

Yeah.

00:39:02,314 --> 00:39:04,024

We need to do some

investigation into this.

00:39:04,054 --> 00:39:06,274

You have very curious,

well, it looks great.

00:39:07,654 --> 00:39:10,714

Um, I find myself personally.

00:39:11,854 --> 00:39:15,514

Like trying to mentally strike

this balance of what should I

00:39:15,514 --> 00:39:18,274

be doing realistically now to a.

00:39:19,414 --> 00:39:21,964

It's not like I don't want to

age, but of course I want to stay

00:39:21,994 --> 00:39:23,524

looking good as long as possible.

00:39:23,824 --> 00:39:27,814

, and what should I hold off

and kind of leave like these

00:39:27,814 --> 00:39:28,984

bigger things down the road.

00:39:29,014 --> 00:39:32,224

So I guess with something like endo

left, for example, If somebody in

00:39:32,224 --> 00:39:36,274

their thirties is like, oh, I'm

noticing like, I've got I bags.

00:39:36,304 --> 00:39:38,044

You mentioned for example, that

you can treat it with that.

00:39:38,414 --> 00:39:42,854

Is it something where it would be

who've them to get endo lift earlier?

00:39:43,184 --> 00:39:45,764

Would that stave off needing like.

00:39:46,364 --> 00:39:47,894

I surgery or is it.

00:39:48,224 --> 00:39:49,664

Like, I feel like I'm rambling.

00:39:49,904 --> 00:39:51,194

I'm poorly formed.

00:39:51,554 --> 00:39:52,274

Taking this all in.

00:39:52,274 --> 00:39:54,224

And I know in his chair, Yeah.

00:39:56,114 --> 00:39:56,354

Yes.

00:39:56,564 --> 00:39:57,044

I do know.

00:39:57,734 --> 00:39:59,384

Uh, the answer is.

00:39:59,924 --> 00:40:00,524

Yes.

00:40:00,524 --> 00:40:01,394

And I don't know.

00:40:01,964 --> 00:40:02,294

Okay.

00:40:03,764 --> 00:40:04,694

What's the next question.

00:40:05,624 --> 00:40:07,664

So, yes, the answer is.

00:40:08,354 --> 00:40:10,064

Um, Yes.

00:40:10,094 --> 00:40:10,934

If you're.

00:40:11,141 --> 00:40:13,331

If you're younger and you.

00:40:14,051 --> 00:40:15,581

More tissue Alasta city.

00:40:16,121 --> 00:40:21,281

You have thicker tissue, you're going to

respond better to a nonsurgical procedure.

00:40:21,431 --> 00:40:21,881

Okay.

00:40:21,944 --> 00:40:25,604

once we get more, more mature,

our skin starts that then you

00:40:25,604 --> 00:40:26,774

don't have that deeper structure.

00:40:26,774 --> 00:40:28,904

You don't have tissue

elasticy you gets a harder.

00:40:29,324 --> 00:40:30,884

From a non-surgical standpoint.

00:40:31,574 --> 00:40:34,214

to rectify some of these issues

that people present with.

00:40:34,304 --> 00:40:34,724

Okay.

00:40:35,144 --> 00:40:36,014

Is there, sorry to cut you off.

00:40:36,104 --> 00:40:39,284

Is there like an average age where,

what you're referring to right

00:40:39,284 --> 00:40:41,294

now, generally, like when you see.

00:40:41,924 --> 00:40:42,974

And it is funny.

00:40:43,304 --> 00:40:46,034

No, this is a question like

how old is too old for this?

00:40:46,034 --> 00:40:46,394

How young?

00:40:46,514 --> 00:40:48,254

Well, of course there's a too young.

00:40:48,704 --> 00:40:52,274

Yeah, there's a too young age

for, for all sorts of things.

00:40:52,874 --> 00:40:53,024

Yeah.

00:40:53,294 --> 00:40:54,884

You know, first statics of course.

00:40:55,094 --> 00:40:58,454

, and, and those ages are

put on PR products, right?

00:40:58,454 --> 00:41:01,814

So, so the FDA, even there's a certain

age requirement for a lot of these

00:41:01,814 --> 00:41:03,374

products to be administered on patients.

00:41:03,374 --> 00:41:04,154

So that's fine.

00:41:04,784 --> 00:41:07,904

I don't know that I don't

really look at age as a.

00:41:08,144 --> 00:41:09,914

As a, as the determining factor.

00:41:10,154 --> 00:41:13,454

It just depends on what the patient

presents with and how they present

00:41:13,454 --> 00:41:15,824

in my office and what they have.

00:41:16,034 --> 00:41:17,624

You know, what I would

do, we have to work with.

00:41:18,104 --> 00:41:21,314

What's gonna work best and what,

what can we do to make the most

00:41:21,314 --> 00:41:23,024

impact and get the best result?

00:41:23,494 --> 00:41:24,004

, safely.

00:41:24,184 --> 00:41:24,604

Yeah.

00:41:24,814 --> 00:41:27,664

And we're both of us are

going to be happy with it.

00:41:27,964 --> 00:41:31,354

And that's kind of where the

determining factor really is.

00:41:31,984 --> 00:41:33,244

Do we need younger age?

00:41:33,244 --> 00:41:35,014

Is that necessarily going to

mean that you're not going to

00:41:35,014 --> 00:41:36,184

need anything later in life?

00:41:36,244 --> 00:41:37,054

May, maybe.

00:41:38,014 --> 00:41:40,984

No, maybe if it's dressed younger,

but I don't, you know, You've got all

00:41:40,984 --> 00:41:44,224

these other factors that come into play

in environmental factors, genetics.

00:41:44,494 --> 00:41:48,154

Who knows what's going to happen between

now and five years from now or tomorrow?

00:41:48,274 --> 00:41:48,634

Yeah.

00:41:49,564 --> 00:41:51,724

So to a certain, to a certain extent.

00:41:51,724 --> 00:41:52,324

Yes.

00:41:52,744 --> 00:41:55,054

But, but then that's where

the, I don't know, comes in.

00:41:55,414 --> 00:41:56,194

We would think.

00:41:56,794 --> 00:42:00,064

We do know, and people laugh

at this, but yes, of course.

00:42:00,454 --> 00:42:02,614

There's something to prophylactic Botox.

00:42:03,424 --> 00:42:03,754

Right.

00:42:03,784 --> 00:42:04,924

There's something to that.

00:42:05,044 --> 00:42:05,344

I.

00:42:05,344 --> 00:42:08,254

When you're preventing the tissue

from folding over time and time

00:42:08,254 --> 00:42:11,194

again, and you're getting in a

little bit of muscle atrophy.

00:42:11,194 --> 00:42:13,624

Of course, you're not going to

have as deep lines down the road.

00:42:13,774 --> 00:42:16,954

If, if you're 40 and you start

again at 30, then if you started

00:42:16,954 --> 00:42:19,024

getting into 39 and 40, right.

00:42:19,864 --> 00:42:22,774

And there's also some other things

with tissue remodeling with Botox

00:42:22,774 --> 00:42:24,154

that we just don't quite understand.

00:42:24,154 --> 00:42:25,204

So when you see.

00:42:25,654 --> 00:42:30,034

That's why typically what I like

to see with Botox is not absence

00:42:30,034 --> 00:42:32,644

of lines, but you tend to see

the tissue just looks healthier.

00:42:32,764 --> 00:42:33,124

Yeah.

00:42:33,154 --> 00:42:35,464

It's better that people

don't talk about that enough.

00:42:35,644 --> 00:42:37,234

That post Botox glow.

00:42:37,264 --> 00:42:37,924

Exactly right.

00:42:38,644 --> 00:42:38,854

Yeah.

00:42:38,854 --> 00:42:42,064

There's something with the tissue

that happens that we don't, we're

00:42:42,094 --> 00:42:43,354

not quite sure where that happens.

00:42:43,444 --> 00:42:43,594

Um,

00:42:45,124 --> 00:42:45,334

no.

00:42:45,604 --> 00:42:47,464

Well, there's so much that happens.

00:42:48,994 --> 00:42:52,654

But there's something to good that,

and so yes, that lends itself to there.

00:42:52,654 --> 00:42:54,784

There is something to be said about.

00:42:54,917 --> 00:42:57,647

Staving off some of the effects

of agent agents, not bad.

00:42:58,127 --> 00:43:02,567

They, you know, if you're not

aging, Then you're not living right.

00:43:02,957 --> 00:43:04,607

I think aging is the better alternative.

00:43:04,757 --> 00:43:04,787

I.

00:43:04,817 --> 00:43:06,257

I agree, and there's

nothing wrong with Asia.

00:43:06,317 --> 00:43:08,837

I'm perfectly happy being I'm 52.

00:43:09,527 --> 00:43:09,947

How old am I?

00:43:10,937 --> 00:43:12,287

I'll be 52 next month.

00:43:12,467 --> 00:43:12,797

Yeah.

00:43:13,127 --> 00:43:13,847

You offered that up?

00:43:13,847 --> 00:43:15,467

Cause I was curious, but

I wasn't going to ask you.

00:43:16,877 --> 00:43:18,617

And 11 months, right.

00:43:18,707 --> 00:43:20,087

Happy early birthday, Mike.

00:43:22,307 --> 00:43:25,217

I believe me, I'm so happy

to have lived this log.

00:43:25,337 --> 00:43:26,117

Up in.

00:43:26,537 --> 00:43:30,287

And I think this is, this is true

of the majority of my patients.

00:43:30,857 --> 00:43:32,987

But there's no problem with aging.

00:43:33,557 --> 00:43:35,117

And I don't want to look younger.

00:43:35,267 --> 00:43:36,167

Really right.

00:43:36,407 --> 00:43:36,737

Right.

00:43:36,857 --> 00:43:39,377

You just want to look the best that you

can at this point in time in your life.

00:43:39,647 --> 00:43:43,997

You don't want to look different or weird

or younger, just as good as we can now.

00:43:44,327 --> 00:43:45,437

Refresh that's it.

00:43:45,527 --> 00:43:48,677

And that's, that's, that's all

that's most of my patients.

00:43:48,707 --> 00:43:48,917

Yeah.

00:43:49,097 --> 00:43:49,877

I think that's wonderful.

00:43:49,877 --> 00:43:52,757

And it's like, you don't want people

to be like, oh my God, you get

00:43:52,757 --> 00:43:54,257

great filler or you get great Botox.

00:43:54,287 --> 00:43:55,907

You want them to be like, you look great.

00:43:55,967 --> 00:43:57,527

Do you get anything done?

00:43:58,307 --> 00:44:01,757

I kind of have jokingly say this a

lot of like, you know, If anybody

00:44:01,757 --> 00:44:04,427

walks up to you and says, Hey,

your Botox or filler looks great.

00:44:04,427 --> 00:44:04,487

Just.

00:44:04,607 --> 00:44:06,947

And then take my card, like rip

it up and throw it in the trash

00:44:06,977 --> 00:44:08,297

because I did do no favors.

00:44:08,417 --> 00:44:10,007

It should not ever be noticed.

00:44:10,037 --> 00:44:10,637

Yes.

00:44:10,757 --> 00:44:11,507

A hundred percent.

00:44:11,597 --> 00:44:11,687

Right.

00:44:11,937 --> 00:44:14,457

, I think the only time it should be noticed

as if somebody knows you really well

00:44:14,457 --> 00:44:15,777

and they can tell a difference in their.

00:44:15,807 --> 00:44:18,177

I just like, uh, bitch,

those brow lines look really.

00:44:18,327 --> 00:44:18,507

Yeah.

00:44:19,347 --> 00:44:20,307

What the hell happened?

00:44:20,667 --> 00:44:21,207

You don't have that.

00:44:21,327 --> 00:44:21,477

Yeah.

00:44:21,837 --> 00:44:22,647

Exactly.

00:44:22,767 --> 00:44:24,267

That's what it should

all look very natural.

00:44:24,657 --> 00:44:26,907

Yes, I that's my that's my approach.

00:44:26,907 --> 00:44:28,107

And always has been, yeah.

00:44:28,257 --> 00:44:31,137

I know some people have a different

aesthetic that they want for themselves,

00:44:31,137 --> 00:44:34,827

but generally speaking, most people,

and this is what I've built my

00:44:34,827 --> 00:44:37,257

business on is natural results.

00:44:37,287 --> 00:44:40,977

I want you to look your most

beautiful and best based on your

00:44:40,977 --> 00:44:45,207

natural coloring, your natural hair

texture, because that's realistic.

00:44:45,237 --> 00:44:48,627

And it's not that I can't give you

hot pink hair, blue hair, crazy stuff.

00:44:48,657 --> 00:44:48,867

Right.

00:44:49,047 --> 00:44:50,937

But most people don't want that.

00:44:50,967 --> 00:44:53,247

They just want to look out

and I don't wait for that.

00:44:53,547 --> 00:44:57,387

And, you know, and I think the other thing

too, is the patients are my billboard.

00:44:57,807 --> 00:44:58,017

Right.

00:44:58,467 --> 00:45:02,517

You know, if I'm just, if I just

punt, you know, put a ton of filler in

00:45:02,517 --> 00:45:04,917

your lips and you walk around looking

crazy, of course, people are going

00:45:04,947 --> 00:45:06,117

to be like, Ooh, who does your lips?

00:45:06,537 --> 00:45:08,877

But I don't want my name

coming out of your mouth.

00:45:09,147 --> 00:45:09,987

If that's your thing.

00:45:09,987 --> 00:45:10,527

That's good.

00:45:10,557 --> 00:45:13,197

I can send you to somebody

who will do that for you.

00:45:13,467 --> 00:45:16,977

People who specialize in making

your lips big and that's fine.

00:45:17,327 --> 00:45:19,637

, that's just not, that's not

what you're, that's not me.