Podcast Summary: "The Truth About Injectables"

Introduction

In the January 1, 2025 episode of Am I Doing It Wrong?, hosts Raj Panjabi Johnson and Noah Michelson delve into the nuanced world of cosmetic injectables. Exploring societal pressures, misconceptions, and the practicalities of injectable treatments, the episode aims to demystify procedures like Botox and dermal fillers. With expert insights from Dr. Sherwin Parikh, a renowned dermatologist, the hosts guide listeners through making informed decisions about enhancing their appearance safely and effectively.

Types of Injectables

The discussion begins with a clear breakdown of the two primary categories of injectables: toxins and fillers.

• Toxins: Commonly known as Botox, Juvederm, Xeomin, and Dysport, these substances work by temporarily paralyzing muscles to reduce the appearance of wrinkles and fine lines. As Dr. Parikh explains, "Botox was first to market at the turn of the century" (03:29), becoming a staple in cosmetic dermatology for achieving smoother skin.

• Fillers: These are used to restore volume, fill in creases, and add projection to various facial areas. Fillers vary in their composition and viscosity, allowing for tailored applications depending on individual needs. Dr. Parikh notes, "They come in different varietals, different G prime, different forces, different viscosities" (04:00), emphasizing the importance of selecting the right type for desired outcomes.

Risks and Common Misconceptions

The hosts address prevalent misconceptions and potential risks associated with injectables:

• Bruising: One of the most common side effects is bruising at the injection site. To minimize this, Dr. Parikh advises staying hydrated and avoiding blood thinners like alcohol and aspirin before the procedure (11:05).

• Overuse and Reversal: Concerns about overuse are discussed, with Dr. Parikh assuring that most fillers can be reversed using hyaluronidase if results are unsatisfactory (09:44). However, Botox effects are temporary and cannot be undone, only waiting for them to wear off naturally (10:28).

• Drooping Eyelids: A rare but serious complication, often resulting from improperly placed Botox, leading to temporary drooping (12:19). Dr. Parikh emphasizes the importance of choosing a skilled practitioner to avoid such issues.

Age and Suitability

A significant portion of the episode focuses on the appropriate age for starting injectables:

• Young Adults: The concept of "preventative Botox" for those in their 20s is debated. Dr. Parikh suggests it should be considered only if there are visible lines that persist across photographs over several seasons (15:58).

• Older Adults: There's no upper age limit for injectables, but the approach must be tailored. Older skin may require different treatments, and excessive use can lead to unnatural appearances (21:12).

Raj shares her openness to considering injectables in her 40s, influenced by friends who feel more confident and radiant thanks to these treatments (01:50). Noah, while intrigued, remains cautious due to cost concerns but remains open to changing his perspective based on expert advice (02:25).

Cultural and Social Perceptions

The episode delves into the societal stigma and varied perceptions surrounding injectables:

• Celebrity Influence: Instances where celebrities' appearances change due to injectables are discussed, highlighting both positive and negative public reactions. For example, Raj references a situation where Jennifer Aniston's appearance led to speculation about excessive fillers (13:17).

• Gendered Views: Raj observes that perceptions of injectables can be gendered, with women often facing more scrutiny than men (22:55).

• Psychological Impact: The hosts touch on how increased self-scrutiny, especially post-pandemic with more time spent looking at oneself via screens, has led to a rise in cosmetic procedures (17:36).

Practical Advice for Beginners

For listeners considering injectables, Dr. Parikh offers practical advice:

1. Communicate Goals: Instead of specifying a particular injectable, describe the desired outcome to the practitioner (48:44). This ensures personalized treatment tailored to individual needs.

2. Choose the Right Practitioner: Expertise and certification are paramount. Avoid bargain offers and prioritize practitioners with proven credentials (30:14).

3. Start Conservatively: Begin with minimal injections to assess how your skin responds and adjust accordingly (25:38).

4. Maintenance and Longevity: Understand that while injectables are not permanent, their effects can last from six months to over a year depending on the treatment. Regular touch-ups can maintain desired results without the need for indefinite use (26:43).

5. Combining Treatments: Integrating injectables with other skin treatments like lasers can enhance overall skin health and prolong the effects of injectables (27:48).

Conclusion

The episode wraps up with the hosts reflecting on their newfound understanding and openness towards injectables. Raj feels more equipped to consider injectables with the right practitioner, while Noah remains cautiously optimistic, valuing natural lines but open to future considerations (49:23). The conversation underscores the importance of informed decision-making, personalized treatments, and the role of skilled professionals in achieving satisfactory cosmetic outcomes.

Notable Quotes

• Raj Panjabi Johnson (03:02): "I'm really, really excited about this topic because I am an injectables virgin."

• Dr. Sherwin Parikh (03:29): "In broad strokes, you break down injectables into two categories, mostly toxins and fillers."

• Ryan Reynolds (09:44): "Filler is based in hyaluronic acid. It's a naturally occurring gel that you can put under the skin."

• Noah Michelson (27:35): "It's a luxury. Good to be sure."

• Raj Panjabi Johnson (48:44): "If you're a beginner, it's better to tell your doctor what you're hoping to achieve rather than what kind of injectable you want and where."

Key Takeaways

1. Communicate Desired Outcomes: Focus on the results you want rather than specific injectables.

2. Eyes Area: While Botox can be effectively used around the eyes, fillers are generally not recommended in this area.

3. Age Inclusivity: There's no age limit for injectables, but treatments should be tailored to individual skin conditions.

4. Expertise Matters: The skill and certification of the practitioner are critical for safe and effective results.

5. Word of Mouth: Recommendations from friends and trusted sources can lead to finding reputable practitioners.

This comprehensive summary captures the essence of the episode, providing valuable insights for listeners considering injectables while addressing common concerns and misconceptions.