Your skin on your wedding day is not something you want to figure out last minute. And according to today's guest — it's also not something you want to experiment with close to the date.
Dr. Kelsy Vick sits down with Claire — a Columbia-trained, board-certified nurse practitioner and cosmetic injector — for the most practical, honest, evidence-based bridal skin prep conversation on the internet. From the mistakes brides make most often to the exact timeline you should be following — this episode covers everything.
What you'll learn:
Whether you're a bride, a MOH, or just someone who wants better skin — this episode is for you.
Links/Research Articles:
Dr. Claire’s Booking Link: https://www.myvelour.com/provider/claire-schwegel-del-signore/services?locationType=in-suite
Dr. Claire’s Instagram: https://www.instagram.com/confidencebyclaire/
Dr. Claire’s Tiktok: https://www.tiktok.com/@confidencebyclaire
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Welcome to Wellness Fixes the
Pod, a by Maven Media production,
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:where we believe you deserve real
education from real experts delivered
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:in a way you can actually use.
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:I'm Dr.
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:Kelsey Vick, your board certified
orthopedic doctor of physical therapy, and
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:this podcast was built for the girl who
is done feeling overwhelmed and frustrated
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:by conflicting health noise and is ready
for something she can actually trust.
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:Every week we have honest science-backed
conversations about your health,
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:your hormones, your brain, your
body, and everything in between.
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:No fluff, no fear-mongering,
just the truth.
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:Because understanding your
body is the most powerful
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:thing you can do for yourself.
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:A table full of experts built for
the curious girl who wants the truth.
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:So welcome.
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:Your seat is waiting for you.
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:If anything that I've learned from
all of my years in practice, it's
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:that skin really loves consistency.
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:Nothing is gonna happen overnight,
and trying to change it right
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:before the wedding is, like, the
biggest downfall of most brides.
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:Like, if you're somebody that's in the
realm of having static lines, like,
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:Botox can be life-changing, truly.
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:And then the other thing that's
my pet peeve is expensive skincare
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:that, you know, has weak evidence.
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:Like, save your money for Botox.
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:I don't think the price is justifiable.
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:If you're advertising it on TikTok
and it changes your skin overnight,
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:it's usually too good to be true.
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:My most honest advice is just,
like, your wedding week is not
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:the time to chase better skin.
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:It's really the time to protect the skin
that we have spent a long time building.
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:today's guest is someone I
have been genuinely excited
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:about to bring on the podcast.
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:She is a board-certified nurse
practitioner and doctorally prepared
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:clinician trained at Columbia University,
where she also served as faculty.
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:As a cosmetic injector, she brings a
philosophy deeply rooted in French beauty
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:and wellness, an ethos built around
elegance, simplicity, authenticity, and
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:the idea that beauty should always look
like you, just a little bit elevated.
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:Her methodology is grounded in a
deep understanding of facial anatomy
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:and evidence-based techniques, and
the results speak for themselves.
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:I really wanted to have her on the
podcast to chat all things prepping your
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:skin for a big event, especially for my
brides preparing for their wedding day.
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:So I can't wait for all of
us to learn from her today.
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:Claire, welcome to Wellness Fixes the Pod.
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:Kelsy: What is the most common mistakes
that you see brides make when it comes
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:to their skin before their wedding day?
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:Claire Schwegel Del Signore, DNP, FNP-BC, MS, RN:
So number one, I think before the
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:wedding, there's this thing that br--
I mean, I was guilty of it myself.
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:There's this thing that brides
do where they, like, panic-change
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:everything right before the wedding.
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:There's anything that I've learned
from all of my years in practice, it's
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:that skin really loves consistency.
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:It does not love, like, this
chaotic spiral that involves, like,
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:initiating a retinoid last minute or,
like, trying some new TikTok serum.
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:Like, nothing is gonna happen
overnight, and trying to change it
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:right before the wedding is, like,
the biggest downfall of most brides.
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:After that, I would say, like,
over-exfoliating whether that's, like,
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:a chemical or a mechanical exfoliator.
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:I grew up in the era of
the apricot scrub, the St.
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:Ives Apricot Scrub.
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:Like, anything…
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:I get it, like, brides wanna glow, but
anything that's going to really disrupt
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:the skin barrier is gonna be a huge
problem because it's leaving, like, these
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:little areas in for infection to get in.
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:It can cause breakouts.
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:It will give you this inflamed, maybe
shiny, but, like, really angry skin.
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:So I think just getting rid of exfoliation
that's, like, consistently used,
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:like, every night or, like, multiple
times a day is the best thing that
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:you can do leading up to the wedding.
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:I'm not saying don't exfoliate, but I
see these brides, like, chasing the glow
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:and essentially trying to just scrub off
the top layer of their skin, and it only
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:leads to bad things like makeup sitting
weird or this really stingy, angry skin.
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:Starting actives too late.
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:Actives are really powerful.
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:Those are things like retinoids
and vitamin C serums and pigment
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:ingredients, but they require time.
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:And my mom always said, like,
"Good things take time."
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:Starting one of those right
before the wedding is gonna
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:have really minimal effect.
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:It's not gonna create, like, big
changes in the amount of pigment
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:or the texture of the skin.
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:But what it will do is it risks
making you really irritated.
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:So I would say, like,
definitely use actives.
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:They're very powerful.
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:But starting them, like, right before the
wedding is not gonna, tilt the needle or
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:change the scales in any meaningful way,
and it's gonna risk undoing any of the
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:work that you've done because of either
compromising the barrier or what have you.
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:And then the other thing that is
like my hard stop as an injector
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:is doing any first-time procedure
right before the wedding.
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:So a lot of patients will come in,
and they think that, you know, you
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:need Botox right before your wedding,
and that will be the cherry on top.
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:And the reality is that you've never
tried any of these treatments before,
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:and you're seeing a new injector.
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:There's just as much the possibility
that you hate the result than you feel
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:like you look better or you like it.
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:And so while it's temporary- Very…
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:Botox, once it's active,
there's no undo button.
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:Like, you- it's the
equivalent of cutting bangs.
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:Like, you just have to wait for them
to grow out, which is never a good
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:position to put a bride in, is to
do something that's not reversible.
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:So I always say, like, never make
your wedding the clinical trial.
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:And it's a really tough pill to
swallow because I think, like, a
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:month or two before the wedding you
feel like you have all of this time
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:to do things but procedures are
never one of them, especially really
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:close and, like, leading up to it.
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:You can have bruising, number one.
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:So if you're really, like, within
a two-week window, you don't wanna
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:do anything that's going to leave
you with swelling that makes you
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:look strange, or have to cover
up a big bruise or any of that.
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:while I'm very good at what I do, I
have first time brides come in the,
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:like, eight-week period before their
wedding, I usually turn them away.
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:And I have a 90% return patient
rate, and patients are really happy
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:and satisfied with the results.
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:But it's just not worth it for the
bride, but it's also not worth it for
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:me, because then I'm going to be, like,
managing all of these patients right
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:before if anything doesn't go perfectly.
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:So I always say, like, all eyes
are on you for wedding day as the
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:bride, and it's better to look like
yourself than to look super strange.
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:What else?
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:What's my last one?
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:Things like ignoring pigment right
before a wedding is super important.
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:So a lot of people forget that
pigment is driven by sun expo- sun
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:exposure and, like, UV exposure.
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:But it can also be driven by heat,
which two totally different things.
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:Being on a beach in the sun is UV
exposure, it's also a little bit of heat.
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:But being in a sauna can also
really flare melasma, so that's
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:like a different type of heat that
I like to have people think about.
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:And so I, like, booked this weekend in
the sun when I went for my bachelorette
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:leading up to my wedding, and, like,
obviously flared all of my pigment,
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:which was a big rookie mistake.
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:But, like, my brides that go on wellness
centers and decide to do, like, a
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:whole weekend at the spa with their
girlfriends, like, sitting in the sauna
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:and steam room while you think it's
gonna help you, can actually derail all
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:the hard work that you've done with,
you know, minimizing the pigment that
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:you've had and, you know, especially if
you have melasma, like creating issues.
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:So it's really a hidden culprit
that I think people forget about.
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:Essentially my hard rule is just,
like, the closer we get to the
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:wedding, more boring we become.
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:So boring skincare is
bridal luxury in my book.
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:Kelsy: I love that mantra too.
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:I'm like, this is, I feel like why I
really wanted to have you on the podcast,
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:'cause I know that your philosophy in
general is, let's do more natural-looking
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:procedures and treatments especially
before, , a big event where you're like,
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:"Okay, yes, I am a cosmetic injector.
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:Yes, I am great at what I do, , but
this is not the time to be doing that."
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:So I think that restriction and that
pulling back, whether it's from treatments
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:or skincare, especially if someone's new
to this, is, like, a very, very hot tip.
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:Claire Schwegel Del Signore, DNP, FNP-BC, MS, RN:
it honestly doesn't even matter
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:the amount of, injectable or how
much you've been doing, like the
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:months leading up to the wedding.
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:it's really truly like you get to a
good place and as someone in medicine,
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:really start to understand like
everything that you do in life, but
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:especially with medical procedures,
like there's a risk and a benefit.
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:And it's not like I'm gonna do this and
I'm gonna have this perfect end result.
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:You really have to weigh the pros and
cons and say, "Okay if I break out from
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:this thing, like, is that gonna be okay?
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:Am I gonna have enough time to fix it?
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:Or is that gonna derail
everything that we've done?"
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:And I think those are really good
questions to ask because people come
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:in thinking like, "Oh, that provider
can fix my under eyes," or, "That
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:provider can do this thing for me."
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:And like it's not, you know, injectors,
plastic surgeons, like we're not robots.
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:It's really an art.
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:And so obviously first and foremost
you may have a different opinion of
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:what's aesthetically pleasing than I
do, and there's always a risk for that.
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:But also things can go awry, just like
you can take a new medication like
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:Tylenol or whatever and have a side effect
or an allergic reaction, God forbid.
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:So I always say yes, they're
incredibly effective.
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:More likely than not you'll have a
great outcome, but is it something
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:that like before this momentous
occasion that you wanna gamble?
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:Kelsy: Yeah, complete risk-benefit
sort of analysis that, that needs
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:to be totally individualized.
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:When we talk about timeline before the
wedding, what should brides in their
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:engagement era be thinking about 12 months
out, six months out, three months out?
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:Like, what should they be thinking
about at each of these different phases
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:if they want to take this more, like,
long-term approach to helping their
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:skin look its best on their wedding day?
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:Claire Schwegel Del Signore, DNP, FNP-BC, MS, RN:
Okay, so a year out, I always say this
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:is like the point in time where you
figure out what you're dealing with.
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:Do you have acne?
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:Do you have acne scars?
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:Do you have melasma, redness,
texture, dullness, laxity?
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:Are you dealing with some volume loss?
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:Usually, like, my brides are younger, so
volume loss is not as big of a deal, but
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:like, you know, some patients are a little
bit older, and they've noticed that their
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:fat pads have diminished with some time.
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:And you start to formulate
like a good skincare plan.
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:And from my chair, the-- most of
the work that I do is needle-based
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:or like injectables-based, right?
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:Like Botox and fillers.
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:But none of that is going to look
good if you don't have good skin.
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:It's what's draping all of the
work that we've done together.
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:So I always say like come up
with your skincare plan for the
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:next year, which should involve
things like a daily sunscreen.
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:It's a non-negotiable.
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:The American Academy of
Dermatology recommends a broad
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:spectrum SPF 30 or higher.
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:and You know, I think
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:Prevention is like the
bulk of what you're doing.
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:After that, after you've gotten your
skin to this like good place, you
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:can add in things like retinoids
or come up with a pigment plan.
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:But like we wanna start on the
foundational things, which is to create
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:a healthy skin barrier so that your skin
is functioning optimally, and then doing
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:things that are going to prevent anything
from getting worse leading up to the day.
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:After that, like retinoids
at night if appropriate.
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:They have strong evidence base for
treating acne and meaningful evidence for
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:like photoagency, but they require a lot
of time, and more than time, consistency.
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:So I would not start a retinoid
for the first time like we
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:said, right before the wedding.
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:But like a year-long plan with consistent
use is really enough to see like
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:meaningful changes in the skin especially
when you're talking about pigment,
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:texture, and like luminosity, which is
what brides are always wanna go for.
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:They also stimulate collagen and we
are evidence-based, you know, medical
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:providers, so I think there's a lot of
data out there to support their use.
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:Other things that are really worth
thinking about at the year mark
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:are like a pigment plan if somebody
has melasma or bron- brown spots.
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:W- that's like looking for
a little bit of brightening.
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:Things like vitamin C serums,
kojic acid, hydroquinone in
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:the right patient azelaic acid.
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:Those are powerful tools.
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:is super nuanced, so the most
important thing is that the
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:provider that you're seeing should
be targeting what the underlying
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:cause is for why you're developing
or you have developed that pigment.
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:So don't just throw the
kitchen sink at all of this.
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:I think the most important thing is to,
you know, really analyze why that pigment
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:has developed so that you can target it
with things that are clinically effective.
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:And then at that one-year mark, I
would say procedure planning is we
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:start brainstorming and deciding
when we're gonna do treatment.
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:So this is a time to talk about lasers,
microneedling, vascular treatments
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:even talking about if we have acne
scarring and then planning out like
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:filler if needed and a BOTOX trial.
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:So I usually will have brides like count
back six weeks before their wedding, and
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:that will be the last possible moment
where we would do BOTOX, and then we
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:count back from there to do a trial.
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:So that's like my one-year mark planning.
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:Around six months out is like this
refinement window, which is when I
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:like to have the core routine stable.
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:So the skin is functioning optimally.
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:We've done all of those things to
start chipping away at any type of,
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:redness, PIH brown spots, melasma.
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:And then at that point, I like
starting to tighten the plan.
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:So for a lot of brides, this might include
doing a Botox trial if it's something
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:that they want before the wedding.
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:I always say like, "I'm in the
business of I want, not I need."
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:Just like you don't need to wear makeup
for your wedding, and you don't need
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:to have somebody else do your makeup.
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:But if you are gonna do it, and
it's something that you want, you
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:definitely should have a trial, and I
think people really forget about this.
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:You do a trial for your hair, you do
a trial for your makeup, you should
249
:absolutely do a trial for your Botox.
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:And essentially, like, we
need to understand what's the
251
:look that you're going for.
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:So we wanna understand what dose gonna
use, how we're gonna place it, what
253
:your brow's response to it is gonna be.
254
:So it's really good to like, you
know, usually patients are really
255
:happy after they try it for the
first time, but there are definitely
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:things that we can tweak and refine.
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:I'll have brides like send me a
little photograph once it's fully
258
:kicked in after day fourteen.
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:and then we can like plan and
tweak things for the final day.
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:What else?
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:Lasers.
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:That's the point in time where
like at six months you're doing
263
:the bulk of your lasering.
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:Lasers can improve everything
from pigment to redness.
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:They help with texture.
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:They can fight signs of photo aging.
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:There's different evidence for different
wavelengths, and it can be super nuanced.
268
:Like laser physics is its own area,
I think, of aesthetic medicine.
269
:But, you know, If you talk to a provider
that's like really well-versed in
270
:how to use all of these things, you
can have pretty outstanding results.
271
:I will say that not all lasers are created
equal, and not all providers are created
272
:equal, so, you know, where you're going
to do these things, you can get widely
273
:varying results based off of the knowledge
of the person operating the device.
274
:So I think I see a lot of brides
looking for a specific laser.
275
:They're like, "Oh, I wanna do a Moxie,"
or, "I wanna do whatever it is."
276
:And the reality is that you should
be seeing someone who's highly
277
:trained on how to use those devices,
because you can have problems.
278
:You can have burns.
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:You can flare pigment.
280
:I think, you know, that six-month
mark is when you should do them.
281
:Maybe start doing your
research a little bit before.
282
:I think this is like a good time to
do filler if it's appropriate for
283
:you, like truly figuring out if you're
the right candidate for it, if you
284
:have a little bit of volume loss.
285
:Filler like can age you, so go
and really distort you and it
286
:can photograph really strangely.
287
:and I'm not anti-filler, but going to
see a highly conservative injector,
288
:I think is really essential, someone
who's going to be truly honoring,
289
:like, an individual's essence and not
creating a new face for them or, you
290
:know, totally changing their appearance.
291
:Like what…
292
:The type of work that should
be done are things to really
293
:refine a bride's appearance.
294
:So sometimes that's, like, a little extra
hydration in the lip or, you know, one of
295
:the fat pads project a little bit more to
support the undereye thing and the chin.
296
:But all of these things, like, you should
be really aligned on with your injector.
297
:you should feel that they have
a similar aesthetic eye to you
298
:It's like getting a haircut, like that
you're able to communicate what you want.
299
:I once brought in, like, a picture
of highlights for my hair and
300
:the hairdresser cut me a bob.
301
:Like, just came up and cut me a
bob, and there was just this gross
302
:misunderstanding that I was not
to her that I wanted, like, hair.
303
:I came in for highlights, but she saw
the picture and saw a bob and decided
304
:that, like, we were cutting my hair.
305
:so really having those conversations
and understanding, like, exactly what
306
:a provider is going to be doing and
that they're aligned with you and that
307
:you trust them is really important.
308
:. Thinking about three months out, it's…
309
:Three months is, like, still plenty
of time, but it's really not the time
310
:to reinvent your face, essentially.
311
:This is a time to, like, really
lock in your routine, so no
312
:aggressive product experimentation.
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:Like, keep doing what's working.
314
:Do your final Botox,
like, around, week six.
315
:Some providers will do, like, week
four, but it will be fully kicked
316
:in and lasting, you know, still
a good amount of time for the
317
:wedding and, like, the honeymoon.
318
:It just gives you enough time
to, A, get the full effect of it,
319
:any small, like, tweaks if you do
need a touch-up, and it allows it
320
:really to like soften and settle.
321
:So I always say if you like your Botox
around the two-week mark, then you'll love
322
:it at four weeks, and it'll carry you out
until it peters on out around 12 weeks.
323
:And then I, like, will have brides
pretty much avoid major filler unless,
324
:like- We plan for it, or we have
a really strong relationship just
325
:because when it's down to the wire
like I said, you don't wanna be deal-
326
:dealing with bruising or swelling or
something, like, not settling perfectly.
327
:That's my practice.
328
:I know plenty of injectors that, like,
will, you know, do lips maybe two
329
:to three weeks before the wedding.
330
:I just…
331
:I don't wanna…
332
:I, wanna get everything perfect,
and it should last, like, filler
333
:should last longer than Botox.
334
:So doing those treatments and having them
be, like, really thoughtful and planned is
335
:my vibe, and I don't do anything that's,
like, reactionary or deciding we wanna do
336
:something last minute before the wedding.
337
:Do only familiar, predictable
s- skin treatments.
338
:So done peels before, like a gentle
peel, I'm totally fine with you doing
339
:that, like, around the three-month mark.
340
:Or even, like, one of these Clear and
Brilliants or, like, a light laser
341
:if you've never reacted poorly to it.
342
:But like a first-time aggressive
resurfacing treatment is not okay with me.
343
:Like, absolutely not.
344
:I've seen brides really break out
from even trying microneedling for
345
:the first time or, like, trying a
celebrity facialist for the first
346
:time because they think they're
gonna like reinvent their skin.
347
:Just don't risk it.
348
:All these procedures have some degree
of risk, and it may be small, but
349
:if it happens to you, it's 100%.
350
:So in those, like, few weeks
leading up, prioritize hydration
351
:and, like, barrier repair or, like,
really strengthening your barrier.
352
:And it's all about, making your face
be makeup-friendly, like, having
353
:things lie really nicely on your skin.
354
:Like, the best-looking skin is
healthy, like, luminous skin.
355
:And if you've done any of those things
or have issues, whether it's from, like,
356
:actives or lasering or whatever, like,
you don't wanna deal with, like, dry,
357
:flaky patches and, like, the trial that
you did not working out for the day of.
358
:Um, That's like, my little breakdown
leading up before the wedding.
359
:Kelsy: I love that timeline
breakdown too, because as a physical
360
:therapist, I come at it from,
like, the exercise side of things.
361
:So I see all of these, like, bridal arms,
six weeks bridal arms series, like, body
362
:recomposition stuff, and I sort of mirror
what you're saying to those sorts of
363
:programs where it's like we're not crash
exercising, trying to get the body we want
364
:for our wedding day, for the wedding dress
six weeks before, just like we shouldn't
365
:be doing that with our skin once we're
like, "Oh, shoot, the wedding's coming
366
:up a lot quicker than what I thought.
367
:Let me get all of the, all
of the skin stuff done."
368
:Like, I think this longevity approach
to it is super nice, and I also look
369
:at it from not only, like, a body
recomposition standpoint but also from,
370
:like, a skin health perspective of the
wedding day might be your motivation
371
:to get a lot of these things done.
372
:But it's also okay to use it as this,
like, deadline to try and get your
373
:routines in order, whether that's,
like, fueling or your movement
374
:routine or your skincare routine.
375
:Like, it might just be that added extra
motivator to allow you to put a little
376
:bit more effort that you want into
whatever routine you're trying to build
377
:that sticks long after the wedding day.
378
:So this sort of, like, longevity approach
to it or this preventative, like, giving
379
:us enough time to either get you the
body recomposition results that you
380
:want, the skincare results that you
want, how you wanna look and feel on your
381
:wedding day, like, I think that is huge.
382
:And I think a lot of brides
think about it with their hair.
383
:I feel like the hair is like, you
know, "I'm gonna get my color trial."
384
:Oh, and nails too.
385
:Nails, like, pedicure, manicure,
they're like, "Oh, I, I have to,
386
:like, get all of these trials done."
387
:But I don't think a lot of people think
about it when it comes to their skin.
388
:They think about it six weeks before, and
they're like, "Oh my gosh, I need to get,
389
:you know, all of these treatments done."
390
:So I appreciate the sort of, like,
timelined approach and helping people
391
:understand, like, giving yourself that,
you know, from proposal to wedding, I
392
:feel like the average is probably 12
months now, if not a little longer.
393
:So I think it's just, like, this helpful
time to dive into, like, taking care of
394
:your skin and getting that professional
consult of, like, "Okay, this is what
395
:I would like to see happen, and, and
here's, like, when my wedding day is."
396
:Use that as sort of this motivator to
get everything on track a little bit.
397
:So what are some of the non-negotiables
that every bride should have in
398
:her routine regardless of budget?
399
:I know you mentioned SPF, but are there
any more that you sort of recommend
400
:that brides have in their routines?
401
:Claire Schwegel Del Signore, DNP, FNP-BC, MS, RN:
I think it's less of a product and
402
:more of a philosophy or lifestyle,
which is that And you can't buy this.
403
:It's consistency.
404
:The best I can think of, like,
for an analogy is if you're using
405
:retinoids, and you're using a super
high dose of tretinoin, like 0.05,
406
:what- whatever it is, and you
can't tolerate that, and you're
407
:not using it consistently, you're
never going to get results from it.
408
:The goal is to be able to use it every
two to three nights, maybe even every
409
:other night if you can, and consistently
use it and tolerate it so that you can
410
:reap the benefits of using that product.
411
:So I think consistency is the one
thing that, like, is a non-negotiable,
412
:whether that's that you're using those
pigment products or, you know, even with
413
:procedures, if you decide that you're
gonna do microneedling as, like, a
414
:plan to get ready for your wedding day.
415
:Like, consistency is the one tool or
gift that I would offer my brides.
416
:Apart from that, like,
maybe an azelaic acid.
417
:It's very specific for patients that are
dealing with rosacea or, like, redness.
418
:I love, you know, starting
your bride on azelaic acid.
419
:People don't really realize how much
that vascular, like, pigment really
420
:affects their overall appearance.
421
:And I see it also just
when patients use lasers.
422
:Like an Excel V or a vascular
laser to treat redness.
423
:Like nothing…
424
:It's almost like nothing was really
done, but like everything was done.
425
:It j- it just gives you
this, like, refined canvas.
426
:We , touched on SPF.
427
:We touched already on retinoids
and using them consistently.
428
:Yeah, so I would say, like,
it's more of a philosophy.
429
:Like, I could tell you all the things
that are great for a skincare routine.
430
:It's never one thing.
431
:It's really, you know, this idea that
you're going to protect, prevent,
432
:repair, and correct the skin.
433
:That takes a long time, and so
if you're using all of those
434
:things and doing all those things,
which … They're pretty simple.
435
:M most women these days I think have,
a nice cleanser, like a gentle cleanser
436
:at home, like a Cetaphil or whatever,
a vitamin C serum, a little bit of a
437
:retinol or retinoid, even if it's not
prescription, and, like, a good sunscreen.
438
:Like, truly, it's not complicated.
439
:Just using those things and using them
consistently is, like, for me, the
440
:non-negotiable thing that you must do
441
:Kelsy: So you've mentioned a few sort of
treatments and different procedures, and
442
:I also know that a lot of these questions
are so individualized, which is why
443
:I feel like a consult's, like, super,
super beneficial and super necessary.
444
:But can you talk through some of the
different treatments and procedures
445
:that you've seen actually move the
needle for brides, and then which ones
446
:might be a little bit too over-hyped?
447
:Claire Schwegel Del Signore, DNP, FNP-BC, MS, RN:
Yeah, so I think if you've never
448
:tried BOTOX, And you have some…
449
:I always like to talk about lines as
either being dynamic or static, right?
450
:Lines that you form
when you're expressing.
451
:So when you smile, you get crow's
feet, and then these static lines
452
:that still appear there when you're
not making those facial expressions.
453
:Like, if you're somebody that's in the
realm of having static lines, like,
454
:Botox can be life-changing truly.
455
:It will help makeup not crease
and sit in s- in those, like,
456
:fine lines that you have.
457
:And it will give you this rested and,
with the right placement, lifted look.
458
:it should make you essentially
look like I slept, I'm hydrated.
459
:Like, not that you're frozen and, like,
shiny like an ice skating rink, but
460
:It should smooth everything out and
be like this in real life airbrushing.
461
:So I think Botox truly can make a huge
impact and really does, move the needle
462
:when you're talking about things that
appear to make you look less old and
463
:just more rested, and that kind of stuff.
464
:And then vascular lasers for redness.
465
:Like, I think in the right
candidate, rosacea, broken
466
:capillaries and just things that
you're trying to cover with makeup.
467
:Like when I got…
468
:I couldn't laser when I was pregnant,
but when I got pregnant, I got,
469
:like, this redness around my nose.
470
:And I couldn't get it to go away,
but then after I delivered, it
471
:just went away on its own, I
think because I was less vascular.
472
:and it just made me look so much better.
473
:So I think getting rid of those, like,
little red patchy areas or diffuse redness
474
:really does make a huge difference.
475
:And patients can usually use
like an Excel V or V Beam laser
476
:and that is like a home run.
477
:What else?
478
:Like little lasers to target pigment.
479
:I love a Pico laser, especially
in higher Fitzpatrick patients.
480
:It uses photoacoustic waves, so it's
not gonna be something that puts a
481
:lot of heat into the skin, which is
good for anybody that's darker skin
482
:tone or has like essentially melasma
or something that's driven , heat.
483
:And it can really like find
a little brown spot and just
484
:like blast it off of your skin.
485
:there are, like, things that you can do
to generally resurface the skin that I
486
:think really do make a nice difference in
just like overall glowiness and perfecting
487
:like small little imperfections or like
erasing small little imperfections.
488
:And then like subtle filler
will make a big difference.
489
:Patients a lot of the time will come
in like complaining about these circles
490
:that they have under their eyes.
491
:And I never love to run and do under
eye filler, but like supporting the mid
492
:cheek a little bit just to help, you
know To raise up the tissue to support
493
:the under eyes can make a huge impact
or giving a little bit of a cheekbone
494
:so that the contours of the face are
really young and youthful looking.
495
:Or even somebody that like has a little
bit of asymmetry in their lips, has a
496
:fuller bottom lip, like trying to get
that top lip to be a little bit fuller
497
:will just harmonize everything in
terms of like you catch like a picture
498
:from like your side profile, or if
the light is hitting in a weird way,
499
:those like things do tip the scales.
500
:In terms of over-hyped, I would say
like random bridal facials with no plan.
501
:Like a facial can be lovely, but it's…
502
:know, if it's like aggressive extractions,
like these unknown actives, weird
503
:fragrances that they're using on
your face, harsh e- exfoliants, like
504
:es- especially before the wedding,
it can absolutely derail the skin.
505
:And then the other thing that's
my pet peeve is expensive skincare
506
:that, you know, has weak evidence.
507
:Like I like actives that have a good body
of evidence and like research behind them.
508
:I think if you're gonna use
these things that are like…
509
:They're meant for people to have
a luxury experience, essentially.
510
:Like that you know, feel a
specific way when you're using it.
511
:Like save your money for Botox.
512
:I think if you're just doing it
for the way that it makes you feel
513
:when you apply it, like go for it.
514
:love a luxury experience, but I don't
think their price is justifiable.
515
:So a lot of the times, you know, those
things can make you feel like a little
516
:bit more hydrated, but on the other
end you've spent a lot of money, and
517
:maybe you have a weird reaction from it.
518
:So I usually will tell patients like
you don't need super expensive things
519
:in order to achieve really good results.
520
:what else?
521
:Things that are over-hyped.
522
:Last minute like kind of quote
unquote "glow treatments."
523
:Everybody comes in, you know,
like finding something on TikTok
524
:and using that and, you know.
525
:If you're advertising it on TikTok,
and it changes your skin overnight,
526
:it's usually too good to be true.
527
:And too much filler.
528
:I think cameras are not
kind to over-filled faces.
529
:Bridal beauty should let you and emote,
and smile, and photograph naturally.
530
:So I just would be really weary.
531
:Like judicious and conservative
filler can be good, but doing anything
532
:that's going to be overdone, obviously
nobody wants that, but it can
533
:change really quickly um not ideal.
534
:Kelsy: So what's one thing that
you think brides often overlook
535
:when it comes to their wedding day?
536
:It can be like this secret
ingredient, secret sauce.
537
:Like, what do you feel like a
lot of brides miss when it comes
538
:to l- helping their skin look
its best on their wedding day?
539
:Claire Schwegel Del Signore, DNP, FNP-BC, MS, RN:
So I think the most important thing,
540
:especially like the weeks and days before
the wedding, is just barrier health.
541
:Everyone talks about like, you know,
all the treatments that you can
542
:do leading up to it, but the thing
that makes skin look really great in
543
:real life is a calm, intact barrier.
544
:It's luminosity and the way that
the light hits super healthy skin.
545
:So when the barrier is healthy,
then your makeup sits better,
546
:texture looks smoother, skin
really reflects light nicely.
547
:Your redness is usually reduced because
you're not inflamed from, you know,
548
:doing things that have aggravated
the skin, and you look more hydrated.
549
:Like healthy skin looks and usually
is very hydrated before the sprays
550
:and the highlighters and all of that.
551
:So stop over-cleansing, stop
over-exfoliating, moisturize like it's
552
:part of the treatment plan because
honestly it is, and don't introduce
553
:a new product close to the wedding.
554
:The other piece I will say is that
like sleep, hydration, you know,
555
:minimizing alcohol intake and salt
intake right before like matter
556
:more than what people want to admit.
557
:And a lot of people will have
these welcome right before,
558
:that's not the time to get loose.
559
:You know, have a few sips of wine or
like a little cocktail, but you know,
560
:the evidence for sleep and general health
and alcohol avoidance is much broader
561
:than just bridal-specific skin studies.
562
:But clinically, like poor
sleep, inflammation, they
563
:all show up on the face.
564
:So I think um it's lower quality evidence
for like wedding glow specifically,
565
:but it's very real in practice.
566
:My most honest advice is just
like your wedding week is not
567
:the time to chase better skin.
568
:It's really the time to protect the skin
that we have spent a long time building.
569
:This conversation was everything
I hoped it would be and more.
570
:Claire, thank you for bringing your
expertise, your philosophy, and
571
:your honesty to this conversation.
572
:I learned so much, and I hope
all of you guys did, too.
573
:All of Claire's links for booking,
if you happen to be in NYC and wanna
574
:go see her, I will leave that link
in the show notes below, in addition
575
:to her Instagram and TikTok links.
576
:That way you guys can go learn from
her and follow her on social media.
577
:Thank you guys so much for being here,
for joining Claire and me in this
578
:conversation about bridal skin prep,
and I'll see you guys again on the
579
:next episode of Wellness Fixes the Pod.