105:: A doctorally trained cosmetic injector's honest guide to bridal skin: what works & what's overhyped

Speaker: 00:00:00

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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00:12:20,605 --> 00:12:23,068

the right patient azelaic acid.

219

00:12:23,268 --> 00:12:25,688

Those are powerful tools.

220

00:12:26,598 --> 00:12:31,158

is super nuanced, so the most

important thing is that the

221

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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.

224

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I think the most important thing is to,

you know, really analyze why that pigment

225

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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

227

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start brainstorming and deciding

when we're gonna do treatment.

228

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So this is a time to talk about lasers,

microneedling, vascular treatments

229

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even talking about if we have acne

scarring and then planning out like

230

00:13:06,658 --> 00:13:09,378

filler if needed and a BOTOX trial.

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00:13:09,478 --> 00:13:14,058

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.

234

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So that's like my one-year mark planning.

235

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Around six months out is like this

refinement window, which is when I

236

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like to have the core routine stable.

237

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So the skin is functioning optimally.

238

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We've done all of those things to

start chipping away at any type of,

239

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redness, PIH brown spots, melasma.

240

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And then at that point, I like

starting to tighten the plan.

241

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So for a lot of brides, this might include

doing a Botox trial if it's something

242

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that they want before the wedding.

243

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I always say like, "I'm in the

business of I want, not I need."

244

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Just like you don't need to wear makeup

for your wedding, and you don't need

245

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to have somebody else do your makeup.

246

00:14:02,218 --> 00:14:04,308

But if you are gonna do it, and

it's something that you want, you

247

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definitely should have a trial, and I

think people really forget about this.

248

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You do a trial for your hair, you do

a trial for your makeup, you should

249

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absolutely do a trial for your Botox.

250

00:14:12,788 --> 00:14:16,428

And essentially, like, we

need to understand what's the

251

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look that you're going for.

252

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So we wanna understand what dose gonna

use, how we're gonna place it, what

253

00:14:21,948 --> 00:14:24,368

your brow's response to it is gonna be.

254

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So it's really good to like, you

know, usually patients are really

255

00:14:27,688 --> 00:14:30,608

happy after they try it for the

first time, but there are definitely

256

00:14:30,648 --> 00:14:32,268

things that we can tweak and refine.

257

00:14:32,588 --> 00:14:35,888

I'll have brides like send me a

little photograph once it's fully

258

00:14:35,928 --> 00:14:37,468

kicked in after day fourteen.

259

00:14:37,768 --> 00:14:41,948

and then we can like plan and

tweak things for the final day.

260

00:14:42,248 --> 00:14:42,688

What else?

261

00:14:42,888 --> 00:14:43,408

Lasers.

262

00:14:43,448 --> 00:14:46,098

That's the point in time where

like at six months you're doing

263

00:14:46,128 --> 00:14:47,808

the bulk of your lasering.

264

00:14:47,928 --> 00:14:51,268

Lasers can improve everything

from pigment to redness.

265

00:14:51,338 --> 00:14:52,448

They help with texture.

266

00:14:52,748 --> 00:14:54,808

They can fight signs of photo aging.

267

00:14:54,988 --> 00:15:00,148

There's different evidence for different

wavelengths, and it can be super nuanced.

268

00:15:00,248 --> 00:15:04,108

Like laser physics is its own area,

I think, of aesthetic medicine.

269

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But, you know, If you talk to a provider

that's like really well-versed in

270

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how to use all of these things, you

can have pretty outstanding results.

271

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I will say that not all lasers are created

equal, and not all providers are created

272

00:15:15,908 --> 00:15:19,748

equal, so, you know, where you're going

to do these things, you can get widely

273

00:15:19,808 --> 00:15:24,321

varying results based off of the knowledge

of the person operating the device.

274

00:15:24,401 --> 00:15:27,431

So I think I see a lot of brides

looking for a specific laser.

275

00:15:27,471 --> 00:15:31,480

They're like, "Oh, I wanna do a Moxie,"

or, "I wanna do whatever it is."

276

00:15:31,491 --> 00:15:34,031

And the reality is that you should

be seeing someone who's highly

277

00:15:34,071 --> 00:15:37,220

trained on how to use those devices,

because you can have problems.

278

00:15:37,260 --> 00:15:38,379

You can have burns.

279

00:15:38,440 --> 00:15:39,759

You can flare pigment.

280

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I think, you know, that six-month

mark is when you should do them.

281

00:15:43,090 --> 00:15:45,210

Maybe start doing your

research a little bit before.

282

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I think this is like a good time to

do filler if it's appropriate for

283

00:15:48,580 --> 00:15:51,580

you, like truly figuring out if you're

the right candidate for it, if you

284

00:15:51,680 --> 00:15:53,340

have a little bit of volume loss.

285

00:15:53,640 --> 00:15:56,798

Filler like can age you, so go

and really distort you and it

286

00:15:56,868 --> 00:15:58,648

can photograph really strangely.

287

00:15:58,948 --> 00:16:03,088

and I'm not anti-filler, but going to

see a highly conservative injector,

288

00:16:03,248 --> 00:16:08,888

I think is really essential, someone

who's going to be truly honoring,

289

00:16:08,948 --> 00:16:14,228

like, an individual's essence and not

creating a new face for them or, you

290

00:16:14,268 --> 00:16:16,208

know, totally changing their appearance.

291

00:16:16,268 --> 00:16:17,028

Like what…

292

00:16:17,248 --> 00:16:19,528

The type of work that should

be done are things to really

293

00:16:19,608 --> 00:16:21,388

refine a bride's appearance.

294

00:16:21,408 --> 00:16:26,228

So sometimes that's, like, a little extra

hydration in the lip or, you know, one of

295

00:16:26,268 --> 00:16:30,428

the fat pads project a little bit more to

support the undereye thing and the chin.

296

00:16:30,728 --> 00:16:34,428

But all of these things, like, you should

be really aligned on with your injector.

297

00:16:34,728 --> 00:16:37,768

you should feel that they have

a similar aesthetic eye to you

298

00:16:37,868 --> 00:16:40,908

It's like getting a haircut, like that

you're able to communicate what you want.

299

00:16:41,048 --> 00:16:45,148

I once brought in, like, a picture

of highlights for my hair and

300

00:16:45,188 --> 00:16:47,008

the hairdresser cut me a bob.

301

00:16:47,228 --> 00:16:50,648

Like, just came up and cut me a

bob, and there was just this gross

302

00:16:50,748 --> 00:16:56,092

misunderstanding that I was not

to her that I wanted, like, hair.

303

00:16:56,492 --> 00:16:59,682

I came in for highlights, but she saw

the picture and saw a bob and decided

304

00:16:59,682 --> 00:17:01,372

that, like, we were cutting my hair.

305

00:17:01,672 --> 00:17:06,482

so really having those conversations

and understanding, like, exactly what

306

00:17:06,492 --> 00:17:09,781

a provider is going to be doing and

that they're aligned with you and that

307

00:17:09,811 --> 00:17:12,112

you trust them is really important.

308

00:17:12,612 --> 00:17:15,021

. Thinking about three months out, it's…

309

00:17:15,342 --> 00:17:18,702

Three months is, like, still plenty

of time, but it's really not the time

310

00:17:18,712 --> 00:17:20,962

to reinvent your face, essentially.

311

00:17:21,021 --> 00:17:23,811

This is a time to, like, really

lock in your routine, so no

312

00:17:24,021 --> 00:17:26,071

aggressive product experimentation.

313

00:17:26,102 --> 00:17:27,652

Like, keep doing what's working.

314

00:17:27,952 --> 00:17:31,942

Do your final Botox,

like, around, week six.

315

00:17:32,242 --> 00:17:35,562

Some providers will do, like, week

four, but it will be fully kicked

316

00:17:35,622 --> 00:17:38,412

in and lasting, you know, still

a good amount of time for the

317

00:17:38,482 --> 00:17:39,702

wedding and, like, the honeymoon.

318

00:17:40,002 --> 00:17:43,262

It just gives you enough time

to, A, get the full effect of it,

319

00:17:43,848 --> 00:17:47,428

any small, like, tweaks if you do

need a touch-up, and it allows it

320

00:17:47,448 --> 00:17:49,554

really to like soften and settle.

321

00:17:49,594 --> 00:17:53,414

So I always say if you like your Botox

around the two-week mark, then you'll love

322

00:17:53,414 --> 00:17:58,424

it at four weeks, and it'll carry you out

until it peters on out around 12 weeks.

323

00:17:58,624 --> 00:18:03,224

And then I, like, will have brides

pretty much avoid major filler unless,

324

00:18:03,244 --> 00:18:07,314

like- We plan for it, or we have

a really strong relationship just

325

00:18:07,374 --> 00:18:11,094

because when it's down to the wire

like I said, you don't wanna be deal-

326

00:18:11,314 --> 00:18:15,264

dealing with bruising or swelling or

something, like, not settling perfectly.

327

00:18:15,564 --> 00:18:16,644

That's my practice.

328

00:18:16,804 --> 00:18:20,664

I know plenty of injectors that, like,

will, you know, do lips maybe two

329

00:18:20,704 --> 00:18:22,104

to three weeks before the wedding.

330

00:18:22,504 --> 00:18:22,884

I just…

331

00:18:23,184 --> 00:18:23,984

I don't wanna…

332

00:18:24,084 --> 00:18:27,264

I, wanna get everything perfect,

and it should last, like, filler

333

00:18:27,324 --> 00:18:28,864

should last longer than Botox.

334

00:18:29,164 --> 00:18:33,424

So doing those treatments and having them

be, like, really thoughtful and planned is

335

00:18:33,524 --> 00:18:37,494

my vibe, and I don't do anything that's,

like, reactionary or deciding we wanna do

336

00:18:37,514 --> 00:18:38,934

something last minute before the wedding.

337

00:18:39,134 --> 00:18:42,214

Do only familiar, predictable

s- skin treatments.

338

00:18:42,274 --> 00:18:46,400

So done peels before, like a gentle

peel, I'm totally fine with you doing

339

00:18:46,440 --> 00:18:48,399

that, like, around the three-month mark.

340

00:18:48,540 --> 00:18:51,730

Or even, like, one of these Clear and

Brilliants or, like, a light laser

341

00:18:51,960 --> 00:18:54,420

if you've never reacted poorly to it.

342

00:18:54,460 --> 00:18:58,444

But like a first-time aggressive

resurfacing treatment is not okay with me.

343

00:18:58,484 --> 00:18:59,374

Like, absolutely not.

344

00:18:59,374 --> 00:19:02,784

I've seen brides really break out

from even trying microneedling for

345

00:19:02,804 --> 00:19:07,104

the first time or, like, trying a

celebrity facialist for the first

346

00:19:07,114 --> 00:19:10,171

time because they think they're

gonna like reinvent their skin.

347

00:19:10,231 --> 00:19:11,571

Just don't risk it.

348

00:19:11,671 --> 00:19:15,241

All these procedures have some degree

of risk, and it may be small, but

349

00:19:15,291 --> 00:19:17,331

if it happens to you, it's 100%.

350

00:19:17,371 --> 00:19:21,551

So in those, like, few weeks

leading up, prioritize hydration

351

00:19:21,591 --> 00:19:25,301

and, like, barrier repair or, like,

really strengthening your barrier.

352

00:19:25,601 --> 00:19:29,661

And it's all about, making your face

be makeup-friendly, like, having

353

00:19:29,701 --> 00:19:31,761

things lie really nicely on your skin.

354

00:19:31,801 --> 00:19:35,541

Like, the best-looking skin is

healthy, like, luminous skin.

355

00:19:35,821 --> 00:19:39,361

And if you've done any of those things

or have issues, whether it's from, like,

356

00:19:39,441 --> 00:19:42,551

actives or lasering or whatever, like,

you don't wanna deal with, like, dry,

357

00:19:42,671 --> 00:19:46,531

flaky patches and, like, the trial that

you did not working out for the day of.

358

00:19:46,791 --> 00:19:50,274

Um, That's like, my little breakdown

leading up before the wedding.

359

00:19:50,574 --> 00:19:53,534

Kelsy: I love that timeline

breakdown too, because as a physical

360

00:19:53,574 --> 00:19:55,854

therapist, I come at it from,

like, the exercise side of things.

361

00:19:55,914 --> 00:20:00,074

So I see all of these, like, bridal arms,

six weeks bridal arms series, like, body

362

00:20:00,114 --> 00:20:04,864

recomposition stuff, and I sort of mirror

what you're saying to those sorts of

363

00:20:04,894 --> 00:20:08,733

programs where it's like we're not crash

exercising, trying to get the body we want

364

00:20:08,794 --> 00:20:12,814

for our wedding day, for the wedding dress

six weeks before, just like we shouldn't

365

00:20:12,834 --> 00:20:15,894

be doing that with our skin once we're

like, "Oh, shoot, the wedding's coming

366

00:20:15,954 --> 00:20:17,614

up a lot quicker than what I thought.

367

00:20:17,674 --> 00:20:19,774

Let me get all of the, all

of the skin stuff done."

368

00:20:19,834 --> 00:20:25,804

Like, I think this longevity approach

to it is super nice, and I also look

369

00:20:25,834 --> 00:20:29,364

at it from not only, like, a body

recomposition standpoint but also from,

370

00:20:29,394 --> 00:20:32,574

like, a skin health perspective of the

wedding day might be your motivation

371

00:20:32,614 --> 00:20:33,834

to get a lot of these things done.

372

00:20:33,954 --> 00:20:40,154

But it's also okay to use it as this,

like, deadline to try and get your

373

00:20:40,234 --> 00:20:43,594

routines in order, whether that's,

like, fueling or your movement

374

00:20:43,634 --> 00:20:44,974

routine or your skincare routine.

375

00:20:45,014 --> 00:20:49,994

Like, it might just be that added extra

motivator to allow you to put a little

376

00:20:50,034 --> 00:20:54,394

bit more effort that you want into

whatever routine you're trying to build

377

00:20:54,434 --> 00:20:56,134

that sticks long after the wedding day.

378

00:20:56,144 --> 00:21:00,974

So this sort of, like, longevity approach

to it or this preventative, like, giving

379

00:21:01,014 --> 00:21:05,654

us enough time to either get you the

body recomposition results that you

380

00:21:05,694 --> 00:21:08,694

want, the skincare results that you

want, how you wanna look and feel on your

381

00:21:08,714 --> 00:21:10,614

wedding day, like, I think that is huge.

382

00:21:10,654 --> 00:21:12,974

And I think a lot of brides

think about it with their hair.

383

00:21:13,274 --> 00:21:15,814

I feel like the hair is like, you

know, "I'm gonna get my color trial."

384

00:21:15,894 --> 00:21:16,634

Oh, and nails too.

385

00:21:16,714 --> 00:21:19,334

Nails, like, pedicure, manicure,

they're like, "Oh, I, I have to,

386

00:21:19,394 --> 00:21:20,974

like, get all of these trials done."

387

00:21:21,014 --> 00:21:23,954

But I don't think a lot of people think

about it when it comes to their skin.

388

00:21:23,994 --> 00:21:28,034

They think about it six weeks before, and

they're like, "Oh my gosh, I need to get,

389

00:21:28,074 --> 00:21:29,234

you know, all of these treatments done."

390

00:21:29,294 --> 00:21:33,044

So I appreciate the sort of, like,

timelined approach and helping people

391

00:21:33,084 --> 00:21:36,824

understand, like, giving yourself that,

you know, from proposal to wedding, I

392

00:21:36,864 --> 00:21:39,844

feel like the average is probably 12

months now, if not a little longer.

393

00:21:40,244 --> 00:21:44,214

So I think it's just, like, this helpful

time to dive into, like, taking care of

394

00:21:44,234 --> 00:21:47,514

your skin and getting that professional

consult of, like, "Okay, this is what

395

00:21:47,654 --> 00:21:51,504

I would like to see happen, and, and

here's, like, when my wedding day is."

396

00:21:51,574 --> 00:21:54,594

Use that as sort of this motivator to

get everything on track a little bit.

397

00:21:54,794 --> 00:21:58,933

So what are some of the non-negotiables

that every bride should have in

398

00:21:58,993 --> 00:22:01,433

her routine regardless of budget?

399

00:22:01,493 --> 00:22:05,314

I know you mentioned SPF, but are there

any more that you sort of recommend

400

00:22:05,354 --> 00:22:06,613

that brides have in their routines?

401

00:22:06,763 --> 00:22:09,182

Claire Schwegel Del Signore, DNP, FNP-BC, MS, RN:

I think it's less of a product and

402

00:22:09,322 --> 00:22:12,971

more of a philosophy or lifestyle,

which is that And you can't buy this.

403

00:22:13,092 --> 00:22:14,231

It's consistency.

404

00:22:14,301 --> 00:22:17,231

The best I can think of, like,

for an analogy is if you're using

405

00:22:17,350 --> 00:22:22,490

retinoids, and you're using a super

high dose of tretinoin, like 0.05,

406

00:22:22,790 --> 00:22:26,190

what- whatever it is, and you

can't tolerate that, and you're

407

00:22:26,231 --> 00:22:29,080

not using it consistently, you're

never going to get results from it.

408

00:22:29,180 --> 00:22:34,900

The goal is to be able to use it every

two to three nights, maybe even every

409

00:22:34,960 --> 00:22:38,600

other night if you can, and consistently

use it and tolerate it so that you can

410

00:22:38,780 --> 00:22:41,440

reap the benefits of using that product.

411

00:22:41,740 --> 00:22:46,040

So I think consistency is the one

thing that, like, is a non-negotiable,

412

00:22:46,119 --> 00:22:50,956

whether that's that you're using those

pigment products or, you know, even with

413

00:22:51,016 --> 00:22:53,796

procedures, if you decide that you're

gonna do microneedling as, like, a

414

00:22:53,876 --> 00:22:56,115

plan to get ready for your wedding day.

415

00:22:56,155 --> 00:23:01,415

Like, consistency is the one tool or

gift that I would offer my brides.

416

00:23:01,715 --> 00:23:05,005

Apart from that, like,

maybe an azelaic acid.

417

00:23:05,185 --> 00:23:10,035

It's very specific for patients that are

dealing with rosacea or, like, redness.

418

00:23:10,135 --> 00:23:13,235

I love, you know, starting

your bride on azelaic acid.

419

00:23:13,275 --> 00:23:18,296

People don't really realize how much

that vascular, like, pigment really

420

00:23:18,416 --> 00:23:20,656

affects their overall appearance.

421

00:23:20,706 --> 00:23:23,406

And I see it also just

when patients use lasers.

422

00:23:23,446 --> 00:23:27,386

Like an Excel V or a vascular

laser to treat redness.

423

00:23:27,406 --> 00:23:28,167

Like nothing…

424

00:23:28,447 --> 00:23:31,114

It's almost like nothing was really

done, but like everything was done.

425

00:23:31,153 --> 00:23:34,993

It j- it just gives you

this, like, refined canvas.

426

00:23:35,003 --> 00:23:36,592

We , touched on SPF.

427

00:23:36,952 --> 00:23:39,692

We touched already on retinoids

and using them consistently.

428

00:23:39,992 --> 00:23:42,252

Yeah, so I would say, like,

it's more of a philosophy.

429

00:23:42,332 --> 00:23:45,812

Like, I could tell you all the things

that are great for a skincare routine.

430

00:23:46,052 --> 00:23:47,072

It's never one thing.

431

00:23:47,132 --> 00:23:50,712

It's really, you know, this idea that

you're going to protect, prevent,

432

00:23:50,772 --> 00:23:52,612

repair, and correct the skin.

433

00:23:52,913 --> 00:23:56,792

That takes a long time, and so

if you're using all of those

434

00:23:56,852 --> 00:23:59,423

things and doing all those things,

which … They're pretty simple.

435

00:23:59,490 --> 00:24:03,569

M most women these days I think have,

a nice cleanser, like a gentle cleanser

436

00:24:03,628 --> 00:24:07,749

at home, like a Cetaphil or whatever,

a vitamin C serum, a little bit of a

437

00:24:07,828 --> 00:24:11,788

retinol or retinoid, even if it's not

prescription, and, like, a good sunscreen.

438

00:24:11,828 --> 00:24:13,988

Like, truly, it's not complicated.

439

00:24:14,148 --> 00:24:19,088

Just using those things and using them

consistently is, like, for me, the

440

00:24:19,148 --> 00:24:22,388

non-negotiable thing that you must do

441

00:24:22,809 --> 00:24:26,189

Kelsy: So you've mentioned a few sort of

treatments and different procedures, and

442

00:24:26,489 --> 00:24:29,749

I also know that a lot of these questions

are so individualized, which is why

443

00:24:29,790 --> 00:24:33,290

I feel like a consult's, like, super,

super beneficial and super necessary.

444

00:24:33,590 --> 00:24:36,529

But can you talk through some of the

different treatments and procedures

445

00:24:36,569 --> 00:24:40,089

that you've seen actually move the

needle for brides, and then which ones

446

00:24:40,149 --> 00:24:42,229

might be a little bit too over-hyped?

447

00:24:42,529 --> 00:24:44,689

Claire Schwegel Del Signore, DNP, FNP-BC, MS, RN:

Yeah, so I think if you've never

448

00:24:44,728 --> 00:24:47,868

tried BOTOX, And you have some…

449

00:24:48,168 --> 00:24:51,698

I always like to talk about lines as

either being dynamic or static, right?

450

00:24:51,958 --> 00:24:53,958

Lines that you form

when you're expressing.

451

00:24:54,238 --> 00:24:57,338

So when you smile, you get crow's

feet, and then these static lines

452

00:24:57,358 --> 00:25:00,718

that still appear there when you're

not making those facial expressions.

453

00:25:00,738 --> 00:25:04,498

Like, if you're somebody that's in the

realm of having static lines, like,

454

00:25:04,698 --> 00:25:07,158

Botox can be life-changing truly.

455

00:25:07,218 --> 00:25:09,938

It will help makeup not crease

and sit in s- in those, like,

456

00:25:10,018 --> 00:25:11,318

fine lines that you have.

457

00:25:11,618 --> 00:25:15,918

And it will give you this rested and,

with the right placement, lifted look.

458

00:25:16,218 --> 00:25:19,978

it should make you essentially

look like I slept, I'm hydrated.

459

00:25:20,058 --> 00:25:24,358

Like, not that you're frozen and, like,

shiny like an ice skating rink, but

460

00:25:24,418 --> 00:25:28,738

It should smooth everything out and

be like this in real life airbrushing.

461

00:25:29,038 --> 00:25:33,918

So I think Botox truly can make a huge

impact and really does, move the needle

462

00:25:33,958 --> 00:25:38,908

when you're talking about things that

appear to make you look less old and

463

00:25:38,958 --> 00:25:40,478

just more rested, and that kind of stuff.

464

00:25:40,558 --> 00:25:43,018

And then vascular lasers for redness.

465

00:25:43,078 --> 00:25:45,458

Like, I think in the right

candidate, rosacea, broken

466

00:25:45,538 --> 00:25:50,155

capillaries and just things that

you're trying to cover with makeup.

467

00:25:50,195 --> 00:25:50,955

Like when I got…

468

00:25:51,075 --> 00:25:53,465

I couldn't laser when I was pregnant,

but when I got pregnant, I got,

469

00:25:53,495 --> 00:25:55,975

like, this redness around my nose.

470

00:25:56,055 --> 00:25:59,015

And I couldn't get it to go away,

but then after I delivered, it

471

00:25:59,075 --> 00:26:02,295

just went away on its own, I

think because I was less vascular.

472

00:26:02,595 --> 00:26:05,235

and it just made me look so much better.

473

00:26:05,315 --> 00:26:09,535

So I think getting rid of those, like,

little red patchy areas or diffuse redness

474

00:26:09,655 --> 00:26:11,135

really does make a huge difference.

475

00:26:11,435 --> 00:26:14,665

And patients can usually use

like an Excel V or V Beam laser

476

00:26:14,925 --> 00:26:16,745

and that is like a home run.

477

00:26:16,845 --> 00:26:17,305

What else?

478

00:26:17,345 --> 00:26:19,065

Like little lasers to target pigment.

479

00:26:19,205 --> 00:26:23,285

I love a Pico laser, especially

in higher Fitzpatrick patients.

480

00:26:23,335 --> 00:26:27,075

It uses photoacoustic waves, so it's

not gonna be something that puts a

481

00:26:27,115 --> 00:26:30,295

lot of heat into the skin, which is

good for anybody that's darker skin

482

00:26:30,355 --> 00:26:34,402

tone or has like essentially melasma

or something that's driven , heat.

483

00:26:34,722 --> 00:26:37,381

And it can really like find

a little brown spot and just

484

00:26:37,432 --> 00:26:39,602

like blast it off of your skin.

485

00:26:39,652 --> 00:26:43,232

there are, like, things that you can do

to generally resurface the skin that I

486

00:26:43,252 --> 00:26:50,322

think really do make a nice difference in

just like overall glowiness and perfecting

487

00:26:50,372 --> 00:26:54,092

like small little imperfections or like

erasing small little imperfections.

488

00:26:54,392 --> 00:26:57,082

And then like subtle filler

will make a big difference.

489

00:26:57,262 --> 00:26:59,992

Patients a lot of the time will come

in like complaining about these circles

490

00:27:00,002 --> 00:27:01,262

that they have under their eyes.

491

00:27:01,562 --> 00:27:06,332

And I never love to run and do under

eye filler, but like supporting the mid

492

00:27:06,392 --> 00:27:11,112

cheek a little bit just to help, you

know To raise up the tissue to support

493

00:27:11,132 --> 00:27:15,498

the under eyes can make a huge impact

or giving a little bit of a cheekbone

494

00:27:15,578 --> 00:27:19,438

so that the contours of the face are

really young and youthful looking.

495

00:27:19,488 --> 00:27:23,848

Or even somebody that like has a little

bit of asymmetry in their lips, has a

496

00:27:23,888 --> 00:27:27,068

fuller bottom lip, like trying to get

that top lip to be a little bit fuller

497

00:27:27,428 --> 00:27:31,947

will just harmonize everything in

terms of like you catch like a picture

498

00:27:32,008 --> 00:27:34,908

from like your side profile, or if

the light is hitting in a weird way,

499

00:27:35,048 --> 00:27:37,399

those like things do tip the scales.

500

00:27:37,699 --> 00:27:42,779

In terms of over-hyped, I would say

like random bridal facials with no plan.

501

00:27:43,019 --> 00:27:45,799

Like a facial can be lovely, but it's…

502

00:27:46,099 --> 00:27:51,919

know, if it's like aggressive extractions,

like these unknown actives, weird

503

00:27:51,999 --> 00:27:55,179

fragrances that they're using on

your face, harsh e- exfoliants, like

504

00:27:55,239 --> 00:27:59,239

es- especially before the wedding,

it can absolutely derail the skin.

505

00:27:59,339 --> 00:28:02,619

And then the other thing that's

my pet peeve is expensive skincare

506

00:28:02,629 --> 00:28:04,779

that, you know, has weak evidence.

507

00:28:04,819 --> 00:28:11,139

Like I like actives that have a good body

of evidence and like research behind them.

508

00:28:11,239 --> 00:28:14,189

I think if you're gonna use

these things that are like…

509

00:28:14,219 --> 00:28:16,839

They're meant for people to have

a luxury experience, essentially.

510

00:28:16,879 --> 00:28:20,249

Like that you know, feel a

specific way when you're using it.

511

00:28:20,349 --> 00:28:22,429

Like save your money for Botox.

512

00:28:22,769 --> 00:28:26,489

I think if you're just doing it

for the way that it makes you feel

513

00:28:26,549 --> 00:28:28,449

when you apply it, like go for it.

514

00:28:28,929 --> 00:28:33,529

love a luxury experience, but I don't

think their price is justifiable.

515

00:28:33,813 --> 00:28:38,103

So a lot of the times, you know, those

things can make you feel like a little

516

00:28:38,163 --> 00:28:41,723

bit more hydrated, but on the other

end you've spent a lot of money, and

517

00:28:41,753 --> 00:28:43,333

maybe you have a weird reaction from it.

518

00:28:43,413 --> 00:28:47,893

So I usually will tell patients like

you don't need super expensive things

519

00:28:47,933 --> 00:28:49,613

in order to achieve really good results.

520

00:28:49,913 --> 00:28:50,353

what else?

521

00:28:50,393 --> 00:28:51,753

Things that are over-hyped.

522

00:28:52,053 --> 00:28:55,503

Last minute like kind of quote

unquote "glow treatments."

523

00:28:55,743 --> 00:28:59,553

Everybody comes in, you know,

like finding something on TikTok

524

00:28:59,593 --> 00:29:01,943

and using that and, you know.

525

00:29:02,023 --> 00:29:04,973

If you're advertising it on TikTok,

and it changes your skin overnight,

526

00:29:04,983 --> 00:29:06,953

it's usually too good to be true.

527

00:29:07,013 --> 00:29:08,322

And too much filler.

528

00:29:08,573 --> 00:29:11,723

I think cameras are not

kind to over-filled faces.

529

00:29:12,023 --> 00:29:16,383

Bridal beauty should let you and emote,

and smile, and photograph naturally.

530

00:29:16,663 --> 00:29:18,223

So I just would be really weary.

531

00:29:18,303 --> 00:29:21,753

Like judicious and conservative

filler can be good, but doing anything

532

00:29:21,763 --> 00:29:26,233

that's going to be overdone, obviously

nobody wants that, but it can

533

00:29:26,333 --> 00:29:29,616

change really quickly um not ideal.

534

00:29:30,029 --> 00:29:34,049

Kelsy: So what's one thing that

you think brides often overlook

535

00:29:34,089 --> 00:29:36,249

when it comes to their wedding day?

536

00:29:36,549 --> 00:29:39,070

It can be like this secret

ingredient, secret sauce.

537

00:29:39,129 --> 00:29:41,830

Like, what do you feel like a

lot of brides miss when it comes

538

00:29:41,850 --> 00:29:44,749

to l- helping their skin look

its best on their wedding day?

539

00:29:45,049 --> 00:29:47,699

Claire Schwegel Del Signore, DNP, FNP-BC, MS, RN:

So I think the most important thing,

540

00:29:47,789 --> 00:29:52,069

especially like the weeks and days before

the wedding, is just barrier health.

541

00:29:52,229 --> 00:29:55,929

Everyone talks about like, you know,

all the treatments that you can

542

00:29:55,989 --> 00:30:00,929

do leading up to it, but the thing

that makes skin look really great in

543

00:30:00,969 --> 00:30:03,888

real life is a calm, intact barrier.

544

00:30:04,188 --> 00:30:09,028

It's luminosity and the way that

the light hits super healthy skin.

545

00:30:09,088 --> 00:30:11,728

So when the barrier is healthy,

then your makeup sits better,

546

00:30:11,988 --> 00:30:16,128

texture looks smoother, skin

really reflects light nicely.

547

00:30:16,138 --> 00:30:20,248

Your redness is usually reduced because

you're not inflamed from, you know,

548

00:30:20,288 --> 00:30:23,728

doing things that have aggravated

the skin, and you look more hydrated.

549

00:30:23,768 --> 00:30:29,265

Like healthy skin looks and usually

is very hydrated before the sprays

550

00:30:29,285 --> 00:30:30,665

and the highlighters and all of that.

551

00:30:30,725 --> 00:30:35,625

So stop over-cleansing, stop

over-exfoliating, moisturize like it's

552

00:30:35,635 --> 00:30:39,825

part of the treatment plan because

honestly it is, and don't introduce

553

00:30:39,885 --> 00:30:41,885

a new product close to the wedding.

554

00:30:41,955 --> 00:30:45,225

The other piece I will say is that

like sleep, hydration, you know,

555

00:30:45,235 --> 00:30:49,325

minimizing alcohol intake and salt

intake right before like matter

556

00:30:49,365 --> 00:30:51,025

more than what people want to admit.

557

00:30:51,045 --> 00:30:54,168

And a lot of people will have

these welcome right before,

558

00:30:54,228 --> 00:30:57,268

that's not the time to get loose.

559

00:30:57,648 --> 00:31:01,438

You know, have a few sips of wine or

like a little cocktail, but you know,

560

00:31:01,498 --> 00:31:06,258

the evidence for sleep and general health

and alcohol avoidance is much broader

561

00:31:06,298 --> 00:31:08,868

than just bridal-specific skin studies.

562

00:31:08,878 --> 00:31:11,248

But clinically, like poor

sleep, inflammation, they

563

00:31:11,298 --> 00:31:12,338

all show up on the face.

564

00:31:12,378 --> 00:31:16,895

So I think um it's lower quality evidence

for like wedding glow specifically,

565

00:31:16,995 --> 00:31:18,955

but it's very real in practice.

566

00:31:19,095 --> 00:31:22,585

My most honest advice is just

like your wedding week is not

567

00:31:22,625 --> 00:31:24,625

the time to chase better skin.

568

00:31:24,725 --> 00:31:30,425

It's really the time to protect the skin

that we have spent a long time building.

569

00:31:30,775 --> 00:31:33,385

This conversation was everything

I hoped it would be and more.

570

00:31:33,475 --> 00:31:36,755

Claire, thank you for bringing your

expertise, your philosophy, and

571

00:31:36,755 --> 00:31:38,395

your honesty to this conversation.

572

00:31:38,405 --> 00:31:40,625

I learned so much, and I hope

all of you guys did, too.

573

00:31:40,775 --> 00:31:45,185

All of Claire's links for booking,

if you happen to be in NYC and wanna

574

00:31:45,185 --> 00:31:48,455

go see her, I will leave that link

in the show notes below, in addition

575

00:31:48,455 --> 00:31:49,835

to her Instagram and TikTok links.

576

00:31:49,835 --> 00:31:53,535

That way you guys can go learn from

her and follow her on social media.

577

00:31:53,655 --> 00:31:57,595

Thank you guys so much for being here,

for joining Claire and me in this

578

00:31:57,595 --> 00:32:00,205

conversation about bridal skin prep,

and I'll see you guys again on the

579

00:32:00,205 --> 00:32:02,165

next episode of Wellness Fixes the Pod.

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