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Sandra Lena Silverman
Foreign.
Amitaj Eshel
Welcome back to Biohacking Beauty, the show where we break down the science of youthful skin aging and help you upgrade your skin care from the inside out. I'm your host, Amitaj Eshel, CEO of Young Goose Skincare, where we believe anti aging should be smarter, not harder. Today's episode is equal parts no BS and high glow. We're joined by Sandra Lena Silverman, author of From Bullshit to Botox, a beauty and wellness explorer who's tried it all. Lasers, fillers, facelift, holistic medicine, life coaching, personal training, you name it. And here's the kicker. Most people think she's at least a decade younger than her actual age. So obviously we talk a lot about alternatives in this podcast. Alternative to Botox, to fillers, to whatever. But I don't think this podcast is only about that. I think we should be exploring the spectrum of things that make you look younger. Things that people are interested in. People are things that people are willing to do. And this is a podcast that I've been waiting to do for a long time where we do talk about, you know, what to do if you, if you want to go under the knife, if you want to go under the syringe. For that matter, how do all of these things incorporate with holistic approaches? And I'm not alone. We actually got a lot of feedback that a lot of people are, they don't believe it's mutually exclusive. You know, biohacking and Botox are not mutually exclusive. So this podcast episode is for you all. So as I was saying, so what works? What's a total scam and how do you build an anti aging routine that actually delivers? We're getting into all of that today with Sandy's brutally honest take on Botox, Instagram, beauty trends and the real reason why women are burned out on trying to stay young. Here are just a few things you'll the most overrated anti aging treatments and what to do instead. How Sandy gets results without wasting time, money or sanity. Whether Botox is becoming the new skincare and what no one tells you about it, and much more. I loved this episode. Also, if you're ready to level up your own skincare game, don't forget you can get 10% off all Yungoos products by using the code PODCAST10 at checkout. Just head to yungoose.com alright, let's kick things off and we kick them off. We kind of, you know, started conversation off air and continued it on air. So we're, we're starting off with some rapid fire questions and this was a lovely convoy. I really hope you enjoyed it as much as I have. Let's get it going. Okay, Sandra, welcome to the biohacking beauty podcast.
Sandra Lena Silverman
Thank you. So happy to be here.
Amitaj Eshel
Yeah, as I said off air, we really resonate with kind of your view of the beauty industry and personal journey, etc. So maybe we start with what do you think is the most overrated anti aging treatment that you've tried?
Sandra Lena Silverman
I would say coolsculpting.
Amitaj Eshel
Yeah. Also coolsculpt. I think coolsculpt is interesting because it was bought out. I always forget the name of the company who bought the brand out, but it was mainly bought due to the litigious ability of the brand because it was very easy to copy. I mean the story is great, but there's not, not a lot there. Right? And there a big, big, big company just came out and bought it and said that's great. I, I now only need to sue everyone and make a lot of money off, you know, people kind of off using off label. I think that's what's going to happen with TCL in the end. That's what, that's what's going to happen with M Sculpt.
Sandra Lena Silverman
Oh yeah, I'm going to say that next. I was going to say next, but yeah, I think that they're overrated. I don't really think they work. That's just my opinion.
Amitaj Eshel
I think both of these are. It's crazy. Well, the loop starts with the company selling it to the, to the practitioner for crazy amount of money. Like in the, in the case of msculpt, msculpt and you know, whatever you want to then say M face and they have the. I think maybe the only one that does do anything is the pelvic floor one. They're sold for like around 280 to $200,000.
Sandra Lena Silverman
Super expensive.
Amitaj Eshel
Super expensive. And competitors are like 30 grand. Right. But the reason everyone's going for that is for the brand name and the, and they kind of are saying, hey, we're not creating a really better product than the 30 grand, but we're giving you our brand name and we're going to, we're even going to kind of advertise for you. So it's a branding thing, but unfortunately, you know, the consumer at the end of the day becomes a little bit, you know, it rolls down to the consumer. So yeah, I agree with you. I mean that's a big part in general and you know, speaking to a lot of sales reps in the beauty industry, they're saying, you know, you have a limited amount of money you can kind of derive from your current client base and that client base, you know, will spend, you know, 3,500, you know, 4,000, whatever. But then they're not going to spend any more if they're not going to see going to see results. So what you have to do is kind of try to pay off the device by the time you run through those client bases. Right. And then you need to buy a new device because you need to kind of have a new story to tell. And a lot of the times device, I mean most devices are not returning their investment even.
Sandra Lena Silverman
Are you seeing most of the people buying the device?
Amitaj Eshel
I'm saying like practitioners.
Sandra Lena Silverman
Yeah. Are you seeing most of them? Are they, Are you seeing like in the beauty industry that most of these practitioners are buying or renting the device.
Amitaj Eshel
Or I think it most of them are buying most. So if you think about it, most of the practitioners by volume not talking about by even by where most people are going. Which I think is a different discussion because exactly like everything in any 8020 law. Yeah rule you know most people are going to 20, 80% of people going to 20% of the practitioners. Right. But from the 80% of the practitioners are people who are just starting to walk. You know, are are people who are pretty new and that and a lot of them are doing either rental or they're buying used equipment.
Sandra Lena Silverman
Yeah, that's what I thought.
Amitaj Eshel
The used equipment market actually is a huge, huge, huge market. Especially in lasers because lasers, well you know you could actually have all wave based devices or you know, lasers with, with shock in there. It's, it's really they use the device is as good as new as long as you provide new cartridges or whatever consumable we're talking about. So for the most part you, you're buying as good as new tool for less money. And the people who are buying the used equipment or sorry the people who sold the equipment most of the time didn't recoup the money for that equipment. Therefore they sold it. Therefore you know, so the money kind of goes along and they buy a new tool that they sell the old tool to buy a new tool. And again there is a third category of like the top of the device echelon which you are not not only required to buy, you're also paying per use.
Sandra Lena Silverman
That's right.
Amitaj Eshel
So again a lot of it is rolled down to the, to the consumer. I mean like I think the newest thing within the regenerative field is V. Cell Very small embryonic, like, like stem cells. And the reason it costs so much money is that you think you're. You're not only renting the equipment, you're also paying, you know, I don't know, 5, 10,000 or 5 to 8,000 for every time you, you know, you. You treat the blood and derive the ve cells from it. Yeah. So that's, that's. As far as devices. What do you think. What do you think is the skin. Is the skincare ingredient? That is a total, total, as TikTok says, total airball. What. What do you think is the overhyped skincare ingredient?
Sandra Lena Silverman
There are a lot of skincare ingredients that I really like. Are we talking about facials or are we talking about, like, injections?
Amitaj Eshel
I think injection is. It's. Let's talk about injections. Actually, injections we don't cover. You know, normally we say, okay, Botox, whatever, but obviously there is a huge. Within neurotoxins, there is like a huge plethora of ingredients, some of them in the US Some of them not. And now within fillers or bio stimulators, there is a huge field. So let's talk injectables.
Sandra Lena Silverman
Okay, great. So the one that I think is so overrated and I don't like it at all, is Sculptra. And the reason why is because, first of all, you can't gauge, like, the results that you're going to get because you don't know, because it's your own collagen that's building since it's a bio stimulator. Yeah, I like Radiesse because it's both. So you're actually filling or lifting with the Radiesse and it acts as a bio stimulator. I've tried both. I've never gotten good results from sculpture. In fact, I had injected sculpture in my elbows before I cut my elbow skin, and it created nodules. And those nodules lasted for a year. And then once I started doing my research, I've also seen other people that. Cause you don't know if it's going to create a nodule or not. And God forbid it's in your face or your neck, that's visible, and the nodules are. They're like this big. I mean, it's really, really bad. I buy sculpture, so.
Amitaj Eshel
I couldn't agree more. Have you ever heard, like, plastic surgeons like Amir Karam or Cameron Chestnut talk about Sculptra?
Sandra Lena Silverman
No.
Amitaj Eshel
It's crazy, they say. And that's something I remember going to. Speaking, you know, when I was doing the rounds. I used to be, like, the one of the people educating practitioners on red light therapy, you know, 15 years ago. And I remember going to a conference called Becker Gordon. Becker Gordon is basically, these are two people. They invented facial plastic surgery or cosmetic plastic surgery. The famous story that they went and studied, like, art and created the. The whole ratio of the golden ratio, golden ratio or beauty ratio at that point was called, and they wrote, you know, a book about it, and they really started, you know, facial cosmetic plastic surgery. So there is a conference that they kind of started in, and it's still considered like, that, you know, going back to the. Well, as far as, like, getting knowledge on. On facial plastic surgery. And I remember at that point, it was when Sculptra kind of started. And I remember plastic surgeons saying, this is the worst thing that happened to me as a plastic surgeon, because when I open the skin normally, the skin is like a book. I can open each page at a time, and I can go through the pages and I can do whatever I want, and then I close it back page by page, et cetera. And opening the skin after multiple sculptures is like someone poured water on the pages. They stick together. You cannot separate them, and they rip really easily.
Sandra Lena Silverman
Oh, okay. I didn't know that. That's good information to know.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
I just know from my experience, it doesn't work. And the nodules are. And thank God the nodules were my elbows. And I was able to correct that with the surgery. But not good.
Amitaj Eshel
Not good. Yeah. Especially because a lot of people. I don't know, someone that didn't go and did something like Sculptra or any type of really, you know, any. Anything I would say, like, aside from Botox, really, the main reason people are doing it is like, hey, let's see if I can prevent plastic surgery. Let's see if I can, you know, live my life without having plastic surgery done. Let me try to take another road. Right? That's. I mean, any. Anyone I. I talked to. So you're basically not only not doing it, you're also making yourself a huge, like, a really bad patient. So you like Radius, and that's.
Sandra Lena Silverman
I like Radius because it acts as a bio stimulator as well. So I want to see results. I don't want to wait months in hopes that I will have good results.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
So I like Radiesse. I don't do a lot of filler in my face. I use Radiesse more. I've used it in my butt area or I've Used it in my knees to act as a filler as well. And the bio stimulator, I do some in my face, not a lot. I'll do like a little bit here for lifting. I actually will do a PDO thread here and there for lifting, but it's injected here and it goes up into the skull, which, it helps lift the face this way instead of injecting here and going downward, because when you're pulling, you're more pulling down. This is not common. My injector is amazing, but. But it's not common to do it that way. And it's definitely feels uncomfortable for a few days because you're injecting here, ends here, and then when the thread comes out, you're actually pulling it in that direction. I'm a big believer in facelifts at a young age, in your 40s. And the reason why is because you can go down the filler and the thread trap and all that you want and sculpture and lasers and think that they're going to tighten. From what I found, the only thing that really works is cutting the skin. And if you do it young enough, then you can maintain. Because now I'm 54, so I can maintain with a thread here, thread there. I don't recommend a whole face of threads because that creates holes. And to your point, as you were talking about the sculpture with the plastic surgeons, they don't like it because it does create holes. But when I. The way that I do it is just one here, one there. It's not, it's not a really big deal, but I wouldn't recommend a whole face full of threads.
Amitaj Eshel
Yeah, so, absolutely. I think in general, you know, really the problem with any type of, and, and, and, you know, threads for, for the longest time, and I'm sure that there are still doctors who would say, hey, it's also type of a bio stimulator. Like, it's a positive thing. Right?
Sandra Lena Silverman
Yeah.
Amitaj Eshel
The issue is, especially as we grow older, is that, you know, injury, any injury, is bio stimulating, stimulating. So at the end of the day, you are really susceptible to scarring. And you know, the nodules that you're referring to could be described as just like a, like a really bad, you know, strategic scarring of your body. Just like scarring really poorly and in clubs. Right. But at the end of the day, we really want to minimize the opportunity for scarring. As, as, as we get older and we just scar more easily and the scar, scarring becomes less even, et cetera. So I agree with you that, you know, Minimizing the kind of, the unnecessary stimulation or the uneven stimulation really is like a big, you know, big, big target. And what's amazing about plastic surgery or facelift at a young age is that you are keeping things in place for longer. So let's say you did, you know, you did do even, you know, let's say you did even do a filler or anything like that. It looks more natural. Like the combination of really any type of minimally invasive procedure plus plastic surgery looks significantly more natural than a Rene Zellweger type like scenario where you are trying to push everything through, through a one strategy, like a filler.
Sandra Lena Silverman
Yeah, it doesn't work. I learned that the hard way. That's why I ended up with the facelift at 47, because I had tried a procedure called a Y lift that was a disaster.
Amitaj Eshel
But, yeah, so, yeah, I, I, I get it completely. So what, what, what would you say is, you know, when did you start being interested in, in, I would say like in, in complimentary treatments and yeah.
Sandra Lena Silverman
First surgery that I had was in my late 20s, and that was, did.
Amitaj Eshel
You do anything before that?
Sandra Lena Silverman
Oh, sorry, no, that was breast augmentation. But in my late 20s, I was, it was in the 90s, so we're talking a long time ago. So that was the first procedure. And then I've had rhinoplasty. I've had so many surgeries over the years, I wasn't really filling my face or even doing botox until probably mid-30s.
Amitaj Eshel
Wow. Okay.
Sandra Lena Silverman
But it wasn't really that popular like it is now. So now a young girl, like in her early 20s, probably most of them have had Botox or filler or something, some kind of injectable even, just to.
Amitaj Eshel
See what it is. I don't know if she will see a difference when they inject Botox, but it's what the cool kids do. So you do it too. Right.
Sandra Lena Silverman
The biggest thing that I've seen with girls in their 20s doing, which I think is really counterproductive, is taking out the buccal fat. So a lot of them are doing that. And honestly, you need that buccal fat as you age because you want that baby fat that you have in your face as long as possible. So that's, yeah.
Amitaj Eshel
Even we now know that this fat contributes stem cells to the skin. Like, even if you feel like your face could use, use some shaping or whatever, you, this fat is like really the lifeline of, of, of good skin. So. Absolutely. So speaking of, you know, what people are doing now, what do you think is the worst trend you're seeing right now? People do on Instagram or.
Sandra Lena Silverman
I think the worst trend is young girls going to plastic surgeons and showing the. A filtered photo of themselves, of themselves or somebody else. I want to duplicate that. It's not realistic.
Amitaj Eshel
Yeah, yeah, it's very easy to do it. Yeah, it's very easy to do things in a computer. You don't need to comply with the laws of nature. Right? Yeah, it's crazy. What do you think is the biggest mistake women make when. When they're starting in like a, a going down the, the, you know, the journey of, you know, whether it's injections or. You said you, you've done a bunch of surgery. What do you think is a big mistake people do as far as like, decision making? Are you. Are you. Yeah.
Sandra Lena Silverman
The biggest mistake would be finding a surgeon that's like a jack of all trades. If you want a rhinoplasty, go to a rhinoplasty specialist. Don't go to somebody that does rhinoplasties and tummy tucks and breast augmentations. Don't go to that person. Go to the person that specializes. If you want breast augmentation, go to somebody that specializes in that. Same with the facelift. Same thing or whatever the procedure is. Make sure they're specialists. Because these surgeons that do multiple face, body, body lifts, whatever, they're not doing enough surgeries to make them an expert. Yes. So if you look at a facial specialist, a plastic surgeon that only does faces, he may do one a day, he may do 300 a year, 200 a year, as opposed to somebody that's doing all of them and they may do 20 a year or 25 a year. It's a huge difference. I think that's the biggest mistake that women make.
Amitaj Eshel
That's so smart. Yeah. I mean, to your point, like, four surgeries a week is considered very high for facial plastic surgeons like facelift. There is, there are whole societies for plastic surgeons who are only interested in rhinoplasty. Like I. Again, like, there are hours and hours of discussions on specific types of rhinoplasty and there are just not enough hours a day to even keep up with the latest innovations in the field. If you're trying, you know, to do more than to be more than one like, savant type specialist. Right. Like you're not getting to, to the, to the tip of the spear, as they say.
Sandra Lena Silverman
No, you're not getting an expert for sure for that particular surgery.
Amitaj Eshel
So having said that, if you could only do one treatment, forever what do you think it would be?
Sandra Lena Silverman
That's so typical. I would say one treatment for the rest of my life would probably be radius because I could do it just for multiple, multiple areas of my body.
Amitaj Eshel
Because it's so versatile.
Sandra Lena Silverman
Yeah. I would say threads, but probably not because the threads that I do, I do mostly body threads. I'll do a little bit of my stomach for lifting in my knee area, but if I had to pick one, I would say radius.
Amitaj Eshel
Do you do anything around when you do threads or when you do biostimulants? Do you. Do you do anything around it as far as, like, your general health to improve recovery or response, really? Because it's not really recovery as much as, like, response. Right. How do you treat your body in order to make sure you get the best results?
Sandra Lena Silverman
I take a lot of peptides and I take nads. And the nads are amazing. Helps keep your weight down, gives you energy. I recover so much faster. I don't bruise as much as I did before. And I'm attributing that to the peptides they take. I'm pretty consistent with those and supplements as well. But I would say the peptides are great.
Amitaj Eshel
What peptides in what form? So are you injecting them? Are you doing them as far as an IV oral?
Sandra Lena Silverman
So I don't like the IVs. And the reason. Reason why is because there's so much saline in the iv. I don't feel like you're getting. It's as potent as it is if you're just injecting straight into your body.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
And I've learned that I injected my inner thigh. I alternate because I was doing my stomach for a long time and my stomach started to get puffy and a little bit of bruising. So I do the inner thigh and then it's fine. I feel like that's more effective for me. I take the nads. I cycle different peptides. So I take.
Amitaj Eshel
So nad you inject as well?
Sandra Lena Silverman
The nad. Yeah. I'm sorry. The nad. I inject as well every other day.
Amitaj Eshel
Okay. About 150 milligrams or. What is your dose every other day?
Sandra Lena Silverman
I would say it's 30 per day. Three to four times a week. So it's every other day.
Amitaj Eshel
So you're doing about 120 milligrams a.
Sandra Lena Silverman
Week of the nads. But you have to build up to that. That's.
Amitaj Eshel
Yeah, that's a little. Yeah, that's a little. There is some sensation involved.
Sandra Lena Silverman
They're milliliters.
Amitaj Eshel
Okay.
Sandra Lena Silverman
Yeah. So it's. Yeah, I would say 30 to 35, but I had to build up to that.
Amitaj Eshel
Okay, yeah, that's enough.
Sandra Lena Silverman
Yeah. So I do that. I take a vitamin injection that my holistic doctor created. It's a Myers cocktail with B, C, glutathione, magnesium, and a fat burner called a mic. I inject that every other day as well. Now, that's not subcutaneous. The NAD is a subcutaneous injection. And then I cycle other peptides. CJC 1295 and epamorelin. Yeah, I'll do that for two months on, one month off. And then a copper peptide for skin and nails, same thing. I'll do that. One month on, one month off.
Amitaj Eshel
And when you do that, how often do you inject it? Every other day?
Sandra Lena Silverman
No, those are every day except for weekends. So those are five days a week. And then for reverse aging epitalin, I do. And there's some other ones that she'll add in here and there for the month.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
That are cycled as well. So.
Amitaj Eshel
And when you do, when you want to, like, boost recovery, do you ever take like, BPC157 or TB500?
Sandra Lena Silverman
Yes. I had broken my wrist and my tailbone, and that recovery was 12 weeks for the tailbone and.
Amitaj Eshel
Wow.
Sandra Lena Silverman
Probably six to eight weeks for my wrist. And I was taking that. And that was helpful. In fact, I think actually recovered a little bit faster because of the bpc.
Amitaj Eshel
Oh, for sure.
Sandra Lena Silverman
Yeah.
Amitaj Eshel
So here's a couple of things. So normally the harder the area, the more TB500 is going to work better. So even like, you know, so I would actually would have used that. But here's something cool about BPC157 because it really, it really belongs in the gut. Right. It's. It's a signal for like, gut repair, gut lining repair. And that requires a lot of collagen deposition. So I would be very interested to see how you would experience again, like, biostimulation, which, when, for those listening, when we say biostimulation, really we mean a foreign body injected, and your body responds to it like it's an injury. Like it's a. Again, like it tries to encapsulate it or it tries to like, you know, resolve the inflammation associated with a foreign body and it creates more collagen. That's why I said before, as we grow older, there is more scar tissue, like, involved in it. But I'm wondering how you would, you know, how you would experience like, BPC157 cycled when you're Doing something like that, if you would feel like you got better results just because it. It does signal more collagen production.
Sandra Lena Silverman
That's interesting. I haven't tried that consistently, so I could add that in my cycle just to see.
Amitaj Eshel
And then I would wonder, you know. Cause it takes about six weeks to really build up in your system. Bpc, that's kind of an annoying peptide in that aspect where, you know, let's say you got injured. It's not like you inject it for the most part and you feel better like the next day, it's like four weeks. And then you start to understand it work, it work, it's working. So I wonder then, would it be better if you inject if you knew that you're going to do something? If you start earlier or if you start the day of just to say, fun experiment to see. That's really cool. So you do peptides. You do, you do nad. Do you do supplements of nad? Do you take NAD orally, like NMN and R?
Sandra Lena Silverman
I don't take it orally because I feel like I inject a lot of it. The ones that I take, mine are always changing. So I do my blood work every three months. So my supplements are constantly changing. So I may take like, dhea. I don't take progesterone or estrogen, so my levels are always low because those just don't work for me mentally. Okay, but I wish that they did. So I'll take vitamins, ak, selenium, just whatever my body's deficient in at that time. That's basically what I take. I take collagen, creatine, and then whatever supplement I'm deficient in right now. Fortunately, I'm not really deficient in much like vitamin D. I'm always deficient in vitamin D, which I don't understand why, because I'm always in the sun, but I'm always deficient. Not too bad. My testosterone is always low, so I have to take a testosterone cream that's from a compound pharmacy.
Amitaj Eshel
Speaking of that, by the way, and the fact that progesterone and estrogen doesn't don't work for you. Have you ever tried, like, just to use a face cream with like, estradio. Estradiol for. Just. For. Just for skin health? Since you are low, yes. Holistically, do you feel that it makes a difference?
Sandra Lena Silverman
My estrogen level is always low no matter what I do. But I cannot take estrogen and progesterone from, like, my obgyn. I can't. I can't I've tried numerous times. It doesn't work for me. It causes a lot of pigmentation, it causes weight gain. Mentally, it doesn't work for me. I feel unbalanced.
Amitaj Eshel
Yeah. I mean you're not the only one experiencing that. A lot of the times people would then like, you know, boost like phytoestrogens like soy and stuff like that to try to offset that. But yeah, I mean I've heard that before. So what do you think people are not? I mean that was great. I think we peptides are, are getting there. Like people starting to talk about them. What do you think people are not talking about yet? Like what do you think is one anti aging thing that you do or that you are thinking of doing where you think people are still exosomes? Yeah. Do you think it's still, it's still under the radar, tiny, popular.
Sandra Lena Silverman
It's just so, so depending on how you inject them and who you go to. But you could go to a med spot and pay $5,000 for an IV with exosomes. My OB GYN will do it a lot cheaper. I haven't done that with her yet. Where I'm on the schedule to do that. I don't believe that they're super popular.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
And maybe because they're expensive.
Amitaj Eshel
It's not, it's, it's not only expensive, it's just, it's also. Most people don't know that exosomes are not really the actual thing that gives you the benefit. It's what, what's in them. Right. It's the growth factors, it's the peptides. It's, it's like, you know, a lot of the times I say saying exosome, it's like saying liposomal. You're saying what, what carries the good things that you want? Right. And most places are not going to again B. Again, most places are kind of jack of all trades and they just are looking to find a rep that will provide them exosomes. That will be a smooth transaction. And they don't make sure that they're like the highest quality or they carry like the best things in them or they care about like how were they produced? Are there third party testing showing, you know, efficacy, etc? I think that is a huge, huge, huge challenge. And then on top of that, since that is something that they don't do a lot again, because people are jack of all trades, then they ask for exorbitant amount of money because they're saying, hey, I'm only, you know, I'm only Doing it like five times a month. It better be worth it for me. 5,000.
Sandra Lena Silverman
Exactly.
Amitaj Eshel
Yeah. But again, like, we've been, you know, researching exomes for like two and a half years and this field is the wild, wild west. Like really people are talking about. First of all, it's such a sexy thing to say right now that either people are using plant exosomes, which really mean nothing has nothing to do with human derived exosomes. Right. And then even if it says like human derived exosomes or anything like that, they still mix plant exosomes in them to again say, oh, we have X amount, 1 billion, 10 billion, 100 billion, 1 trillion, whatever. But really the amount, the beneficial amount is extremely low. No one tests if they're viable, et cetera. So definitely I hope that with more popularity and more regularity. Right. We'll see kind of better ethics, I.
Sandra Lena Silverman
Guess, which would be great. Yeah, that would be great.
Amitaj Eshel
Hey there.
C
This is Amitai, co founder and CEO of Young Goose and host of the Biohacking Beauty Podcast. I wanted to take a brief moment to share something really special with you, our dedicated listeners. At Young Goose. We've always been about more than just skincare. We are about cellular care. We believe in not just addressing the signs, but truly diving into the very source of skin aging. The reality is, as time goes on, our skin undergoes damage and this damage accumulates gradually, leading to those signs of aging we all see and know very well. But what if we could hit the rewind button? What if we could delve deep, not into the layers of the skin, but into the life sustaining mechanisms of our skin cells? That's exactly what we're doing at Young Oops. We're pioneering a renaissance in skincare by employing principles from regenerative medicine. By rejuvenating and restoring the cellular functions, our products aim to rewind time, gifting your skin a youthful, vibrant glow. And for our Biohacking Beauty listeners, we have a special treat. Head over to Yongoos.com right now and use the code PODCAST10 to get 10% off your first purchase. Discover the magic of truly transformative skincare. And hey, because we value our returning customers just as much, use podcast five on your subsequent purchases to get 5% off. And the best part, the discount. Discount can be combined with subscriptions in our already discounted systems. So why wait? Dive deep into the realm of regenerative skincare with Yungoos and let your skin. Thank you. Remember, it's not just skin care, it's cellular care. And now back to Our conversation.
Amitaj Eshel
Okay. Okay. So now that we have kind of loosened up, let's get into the story behind From Bullshit to Botox.
Sandra Lena Silverman
The name. The title.
Amitaj Eshel
Yeah. What inspired you to even to write it? And why the name?
Sandra Lena Silverman
Okay, so the book started. I wanted to. I was asked questions all the time because since I did so many procedures, I was like a go to person for my friends and their friends and family members and everybody. So I decided why don't I just write this book where it's a guide and I'll have experts come in, but I'll also make it funny. So it's like my personality is kind of self deprecating, humorous and easy read, but with a lot of information.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
So that's how it started. And I quickly realized after writing the introduction and the outline that I'm not really a writer. So I found my co writer, Erica Florentine, who's amazing. She's a New York Times bestselling author and it was great. We started together not this past October, but the year before. And the book was written in six months. It was so easy. All the experts were amazing. We put the book through beta reading. The beta readers came back with a lot of good suggestions, but overall they loved the book and they had a few really good suggestions that I at that point made some changes. However, by April of last year, I did not have a name for the book. So. So the book was written. I didn't have a name. I couldn't even think of a good name. So my friend Haya, in the middle of the night, she had this burst of energy one night and she came up with 13 titles and subtitles. So she sent those to me. So I wake up one morning and there they are. And From Bullshit to Botox was one of them. And then our subtitle was another. And that's how we got the name.
Amitaj Eshel
And it's a. Yeah, it's a beautiful, beautiful name. It's definitely like, again, it's a very enticing name. I think it kind of throws you into discovery mode, right? Like off the bat.
Sandra Lena Silverman
Yeah, no, it was great. I was. So once I had the name, it like all came together so perfectly.
Amitaj Eshel
Tell me, do you have a specific moment in your life where you said, I need to kind of document my journey or was it more something that gradually you came to that realization?
Sandra Lena Silverman
Gradually I came to that realization because I felt passionate about everything that I've done and the journey. And also the second part of the book, which is more of a holistic approach and self Love. And I just wanted to kind of bring it all together where somebody could read the book and, like, everybody could get something out of it. Whether you are more interested in the external part of you or the internal part of you, there's something in there for everyone. And when they read My Journey and all of these procedures that I've done, they see like, oh, there's a woman out there that's going to be honest, talk about all of this. Because a lot of women would be embarrassed. And then hopefully I can help them feel empowered to do a procedure and not feel embarrassed by it or do something for themselves instead of what society wants them to do. And I explain all of that in the book or even have a guide where if they are going to get a facelift or even something minor like microblading your eyebrows, that it explains everything in such detail where you kind of feel like, okay, I could do this procedure and not be afraid. Or, you know, this expert is talking about it in this way.
Amitaj Eshel
Yeah. And connecting to that. You know, again, you've done anything from lasers to facelift to holistic healing. I'm wondering, what have you learned emotionally through this process?
Sandra Lena Silverman
To really love myself internally and not externally. So for years, I was focused on the external part. I need to look like this and I need to do this procedure. It was just kind of like you said earlier, a rabbit hole I was going down. And then I realized I need to work on the inside part. And that's when I started life coaching and figuring out a way to really find balance with my hormones and just feeling better every day. And once I did that, and I woke up every day feeling energetic and happy and more balanced. And you had been through life coaching. Eliminated toxic people from my life. I really started to love myself. And the external part really wasn't that important anymore. Even though I had done all of these procedures, I really don't do the surgeries anymore. Like, I'll do, like, little things here and there. I've. But as far as being obsessed the way that I was, I have to do this procedure, that procedure. I don't really do them as much anymore. In fact, I haven't done a surgery in a while.
Amitaj Eshel
Well, I hope, first of all, that's cool. And I hope this does not spur you to do one. No, I'm kidding. But, you know, it's very interesting what you said, because I think we're society right now, especially because of social media is so contrast and compare Heavy. Right. Like, you open your phone in social media immediately, you Know we. Happiness in general, algorithmically, is seeing an example of where you could be looking at yourself, where you are today and looking and minding the gap. Looking at the gap. And I think that shapes a lot of, a lot of what happiness is and a lot of the how our society functions today. I mean, what role do you think social media plays in, in or plays in shaping how women age today?
Sandra Lena Silverman
I think it's a double edged sword. I think that social media can offer a lot of good information for women, but I also feel like women can feel really bad about themselves if they're obsessed with social media and they're looking at these influencers or people in general who, like we said before, using these filters that aren't realistic. I see it all the time. I see girls that I meet and then I see their Instagram and I'm like, that's not who they are. That's not this person.
Amitaj Eshel
That's not.
Sandra Lena Silverman
And it happens so much. And I think women have to realize it's not realistic and it's so hard to comprehend. And I probably wouldn't have comprehended it had I not seen it with my own two eyes. Like I see a person and I see their Instagram because my Instagram like overall looks like me. You know, I may like smooth out my skin or you know, just like put like a, not a, like a filter, but not.
Amitaj Eshel
Yeah, not an augmenting.
Sandra Lena Silverman
Yeah, like that sort of thing. So in general it pretty much looks like me or you know, maybe a little bit prettier version, but still looks like me. But I see people that look completely different and to the point where you're like, that's not the same person. And when women see that, they need to understand like there's so many apps out there. You can change your body, you can change your face. I could add hair, I can change my eye color, I could take in inches off of my waist, my legs, I can make myself tan. There's so many things that you can do and I don't think a lot of women understand this. These lab apps that you just put your picture in and then literally program what you want and you come out like an AI figure. So I think a lot of women see these people that are so it's. That look is so hard to achieve and they don't understand that it's a lot like an app that's doing that. So I think it's a double edged sword. So I think for sure helps women in some way. Giving a lot of information, but hurts in Another way, because they're looking at unrealistic.
Amitaj Eshel
You're reminding me. Someone was, you know, doing a live. And then they. Their father was there and she was using some, you know, crazy generative, you know, filter. And then she's like, so, dad, what do you think? And she showed her that, and her dad couldn't get over how. How he looked with that filter. You know, he kind of. And obviously he got a little embarrassed, but that's so funny. But it's true. And it definitely, as you said, like a lot of people, like, the new thing is showing a surgeon or an injector a photo of filtered you and tell him, hey, I want to. This is the person I. I think of myself more than the person looking at me from the mirror. So could you please match that to that person?
Sandra Lena Silverman
Yeah.
Amitaj Eshel
Do you think there is. There is to within that there is too much shame around aging or too much obsession with hiding it?
Sandra Lena Silverman
I think both. I think women are upset, especially my age, where if they haven't kept up with themselves over the years.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
They wake up one day and they look at themselves in the mirror and they're like, how did I get here? And how do I make changes? And that's another reason why I wrote the book is you can start at any age and you can read the book and you can take, even if you want to do a little enhancements where you're afraid to have a surgery or even afraid to do injections, just by doing your eyebrows microblading and maybe adding eyelashes and a new hairstyle, maybe some extensions, whatever, you can make your do some improvements.
Amitaj Eshel
If you don't want Botox, just get bangs.
Sandra Lena Silverman
Yeah. I mean, whatever. So even changing the way that you dress, the way you wear your jewelry, it all. It all contributes to the aging process or looking younger. So I think a lot of women my age lost themselves a long time ago. Their 30s, 20s, and 30s, they looked one way. And then if you don't keep up with it, it can be disastrous and it can be really upsetting. So, I mean, it's never too late. You can start somewhere and hopefully if they read, you know, my book, they can look at suggestions and, you know, that sort of thing in the Balkan.
Amitaj Eshel
Yeah. I think it's a good, always a good idea also to know what to expect. Right. Like, I think if you have a delusion of what can happen either way, like, you think there's no hope, or if you think they're really, you know, you could go to like a surgeon and get out of There. And there is no, you know, recovery is like, super easy. Just two days and you're back, and you're back to your office job. Right. And then you wake up, you know, after surgery, five days later, you still are wrapped up like a mummy. Everything hurts. You're drugged out or whatever. I think there is a lot of. And I actually know that there are a lot of people who are just. The recovery is the thing that gets them emotionally more scarred than even how they look beforehand or. Or anything around that.
Sandra Lena Silverman
I think women have to also be careful when they are interviewing surgeons for a procedure to make sure that they can go under twilight instead of general. And I know a lot of doctors, just, especially in Florida, they all want to do general. Your recovery time is so much longer than doing, like, twilight. Like, most of the procedures I've had were under twilight. However, there were some under general. And I definitely do not recommend that you can get a facelift done under twilight. I cut my elbows just with a local. Yeah, I wasn't even. I was in her office then. A lot of doctors can do that as well. But what I've found in Florida, a lot of them are heavy. Like, they heavily believe in general anesthesia, and I do not. So. And I think your recovery time. So much longer.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
When you.
Amitaj Eshel
I agree. I agree. But let's. Let's talk a little bit about what does work. What actually works. What are your top three treatments or interventions that actually make a lasting difference in your. Made the lasting difference in your appearance?
Sandra Lena Silverman
The facelift is number one.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
Number two is lymphatic work. I do lymphatic work six days a week. A lymphatic treatment that I do myself, it's with this fascia blaster and a caffeine cream, and I use a gua sha. So I do that face to.
Amitaj Eshel
Or mainly body.
Sandra Lena Silverman
Face and body. Because my lymphatic system doesn't work that well, probably because of all the treat or the surgeries I've had. So I'm a big believer in the lymphatic work. So I love the facelift. I love the lymphatic work and also weight training. So for women who, as you're getting older, you have to weight train. You cannot just get away with Pilates and cardio. Your skin will sag, I promise you. In fact, there's a Pilates instructor that goes to my gym and people follow her from all over. She's in the gym six days a week doing weight training. She's not just doing Pilates. Her body just didn't become that muscular from Pilates, but that's like a big misconception. So. I love weight training. I love the lymphatic. I love the fact that I did the facelift in my 40s.
Amitaj Eshel
I love it. First of all, shout out to Ashley Black.
Sandra Lena Silverman
Yeah, that's her.
Amitaj Eshel
Yeah, I love her. And she's a good friend. And the fashion bluster is like the coolest product ever, I would say. You know, a lot of people are doing cosmetic procedures as a substitute for work. And there is. There. There is no one invented anything that replaces work.
Sandra Lena Silverman
No.
Amitaj Eshel
And when you are doing any type of injectable, Any type. With the minute you have. Need a needle in your face, probably. There is probably. I'm missing something. But the minute there is a needle in your face, you. Whatever you are going to get in return, you are paying for in lymphatic flow.
Sandra Lena Silverman
Mm.
Amitaj Eshel
You know, Botox or neuro, whatever that is like a neural limiting synapse, limiting firing, firing, limiting compound, whatever that is. You are not moving your muscles as much. Your lymphatic system is. Is. Is reliant on that. You have fillers. They merge into your tissue. That would mean that there is less lymphatic flow. Like, really. But you could still live with. You just need to manually work your lymphatic system.
Sandra Lena Silverman
And if you don't, I promise you will be puffy. Because I was puffy for years.
Amitaj Eshel
You'll be puffy and there is going to be migration.
Sandra Lena Silverman
Oh, yeah. And then you're right.
Amitaj Eshel
And it migrates. Yeah. And what happens is you're getting used to it. And then the next time you're injecting, you really. Your mind starts to like. It's called perception deviation. You really don't understand how you looked before. So it kind of looks okay. And then you want more fillers. It's really. It's a difficult thing. But there is no substitution for work, so.
Sandra Lena Silverman
No.
Amitaj Eshel
That's really, really cool that you said that.
Sandra Lena Silverman
Yeah.
Amitaj Eshel
Are there any procedures. Procedures that you really regret or wouldn't recommend to other ones?
Sandra Lena Silverman
Two procedures. One was liposuction in my knees and my stomach. The knees are still an uphill battle that I have to do threads and add more filler because I took out too much fat. The skin sagged more than it would have had I not had. I shouldn't have done that. I should have just done the hard work, which I didn't. And my fluorescent. My stomach, which I had to correct that with a mini tummy tuck. Unfortunately, I regret those two a lot. And then I did this Y lift procedure in New York, where they took a lot of filler to lift. The first time I did it, it was fine because he went in with the cannula and kind of sculpted my face. The second time, he pie faced me, so my face. I came out of it, and my face was like this big. It took a year to get the filler out of my face. It was horrible. So those two procedures, I regret the most. And you just have to be very careful, especially with liposuction.
Amitaj Eshel
Yes. What's your skincare routine, and maybe how did it change throughout the year?
Sandra Lena Silverman
The years it's changed, the products changed. So I. It's good to use. Do three rounds of whatever skincare line that you like and then alternate the same thing that you would do, like, with your shampoo and conditioner. I use Derma Maid. And then recently some. Some brands have sent me some skincare products that are really nice. One's called Aloe Veda. So I just kind of alternate. But the dermate I love the most. I would say when you say three.
Amitaj Eshel
Rounds, what do you mean exactly by three rounds? Do you mean, like, meaning that you go through.
Sandra Lena Silverman
Yeah. So you would go through the whole mine three times and then switch to another skincare.
Amitaj Eshel
And when you do that, do you kind of see that? Or are you trying to also look at, like, you know, specific molecules? Or you're saying, hey, I used, let's say, just say, you know, vitamin C or niacinamide in this round. So maybe I'm not going to use it next time. Like, what do you see?
Sandra Lena Silverman
No, I would. I would still use the same kind of ingredients. Next time, just switch to other product. Just switch.
Amitaj Eshel
Cool.
Sandra Lena Silverman
Just switch around, because then you don't get your. Your skin used to the same thing. Overall, my skin's good. The only issue that I have, which is an uphill battle, is pigmentation. I have a little bit here, one spot here. No matter how many times I take it off, it comes back. I'm able to cover it with makeup, but overall, my skin is good. And probably part of that is the peptides, the collagen.
Amitaj Eshel
Yeah, yeah, yeah. Especially like CJC 1295 Hypermorelin. The reason we say it like that, by the way, to anyone listening, they come together. They are. No one uses them. Well, some people use Upper Myriad separately, but they normally come together and they increase growth hormone and growth hormones, like, extremely, extremely, extremely important. Anything from collagen production to blood flow to Even good sleep, which I would argue is like really important. Having said that, you talking about good sleep, how do you balance medical aesthetics with more holistic or internal wellness?
Sandra Lena Silverman
Internally was so like I said before, I started with the life coaching and balancing myself with, you know, the injections, vitamins, the nutrition. So I get minimum of 100 grams of protein a day, which was a game changer for me. I sleep eight hours.
Amitaj Eshel
Beautiful.
Sandra Lena Silverman
I not really big on like meditating, but for me I like to walk. So that kind of calms me down. And a lot of times I'll walk before I even go to bed at night. I don't really have a problem sleeping, but I do like to get eight hours of sleep. It makes me a much happier, more balanced person. And you know, just getting the proper nutrition, the proper water intake and with my supplements, like I said before, I eliminate a lot of toxic people from my life. That's helped as well. So it's kind of like hard to balance everything. You just have to really stay consistent and really stick to your belief system. So for me it works to eliminate the toxic people. I try to have just more like, like minded people around me and, you know, it works. I'm a much happier.
Amitaj Eshel
I love it. I love it. I think, I think that's, you know, long term that, you know what, let's just say this. If you want to really prepare really well for your plastic surgery in your 60s, start developing relationships in your 40s.
Sandra Lena Silverman
Yes, absolutely.
Amitaj Eshel
The studies, although not super robust, but studies showing the difference between people visiting you in the hospital after surgery and recovery are like, it's literally like the best medicine, the best recovery medicine. Better than stem cells, better than exosomes.
Sandra Lena Silverman
You're right.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
But having, yeah, that's what I'm saying. Like having like good people.
Amitaj Eshel
I love it. Yeah, I love it. Okay, so you mentioned coaching, fitness, you know, mind body practices. Maybe I would consider, I would consider the walking kind of mind body practice. Right.
Sandra Lena Silverman
Yeah. I don't really do yoga.
Amitaj Eshel
Yeah.
Sandra Lena Silverman
Or I don't meditate, but I do the, the other things work for me in terms of balancing.
Amitaj Eshel
And do you see, do you, do you feel like there are almost visible results when you, when you do those consistently and, and when not. Can you see it in the mirror? Can you say, hey, a hundred percent?
Sandra Lena Silverman
Because recently I ran out of my testosterone for like three months. I didn't have it. I ran out of my nads, I went to Europe, I didn't have them. I came back and I gained 20 pounds. I stopped Weighing myself, because I thought, oh, I don't need the scale anymore. Like, I shouldn't be addicted to the scale. Everything was a big mistake. So now I. I pretty much have like eight pounds left to lose, which I'm trying really hard. But I want to do it in a healthy manner, like one pound per week so I don't lose muscle.
Amitaj Eshel
I love it.
Sandra Lena Silverman
But. Yeah. So I realized, actually, I was talking to my trainer today. She's on nads as well, and that's what's keeping her weight down. That's what had kept my weight down. I'm a big believer in nad and being consistent. So all the things working together.
Amitaj Eshel
Have you ever, like, considered tried GLP1 agonists, WeGovy, Mounjaro, Ozempic, things like that?
Sandra Lena Silverman
No. Yes and no. So my holistic doctor just prescribed me Triazeputide, a baby dose, and I started it last week. So I'm not like, a huge believer in this. However, I wanted to do something because the extra weight isn't good for my body. Like, in terms of carrying the weight, you know, I have a little bit more joint pain than normal, so I would like, in a healthy way to get it off as quickly as possible. I started the Tirzepatide last week, and I'm only taking it for four weeks. And it's definitely helped. I don't have the same cravings that I did. To give you an example, before I started taking that, I was eating a lot of potatoes with my eggs because I eat a lot of eggs since I'm a carrot. And now I don't have the craving for the potatoes, which is amazing because now I'm shifted to more of, like, egg white omelets instead of my eggs over easy. And I know it's temporary, but just for like, the next four to eight weeks, I'm going to take the Tirzepatide. I'm not a believer in taking Ozempic if you're not doing everything else, but 1 million percent, yeah, if you need something like the triazeptide, I haven't had any side effects as, like a little bit of an extra because I know I'm doing everything else. And it is my fault that I gained the weight because I wasn't being as consistent as I normally am. But everybody's human, so, yes, I'm actually taking that right now. I have a few more weeks left of that.
Amitaj Eshel
Have your. The person who talks with you about peptides, have they talked with you about SLU P332.
Sandra Lena Silverman
No, I haven't heard of that.
Amitaj Eshel
A lot of people call it sloop. It's oral. It's a. It's a. It's a oral peptide. And it supposed. It's kind of the new fad in the optimal performance side of things a lot of people do, like Slupp332, methylene blue and a little bit of. Of. Of like triazepatide or GLP1.
Sandra Lena Silverman
Yeah. Like I said, I'm on that and it has been effective, but.
Amitaj Eshel
Got it. It's really cool. Okay, let's. We're kind of running out of time.
Sandra Lena Silverman
Okay. Sorry, I was talking too much.
Amitaj Eshel
No, you're amazing. I'm gonna rapid fire those questions that I prepared around Botox just so we go through them pretty quickly. Most people have experience or at least know more about Botox, so maybe it's a bit easier. But let's see your opinions here. Is preventative Botox a good idea or just hype?
Sandra Lena Silverman
I think it's kind of hype.
Amitaj Eshel
Me too, baby. Botox brilliant or bs?
Sandra Lena Silverman
Bs.
Amitaj Eshel
Can Botox actually age your face over time? If you overdo it, Maybe.
Sandra Lena Silverman
I'm not really sure about that.
Amitaj Eshel
Maybe. But really, I haven't seen that. Yeah. Is Botox becoming the new skincare?
Sandra Lena Silverman
Yeah, maybe.
Amitaj Eshel
Okay. And what would. What should people be asking their injector that they are not side effects? Okay. Yeah. Yeah. Okay. That was good. I went. I went through quickly. So I can ask you some questions that are a little bit more. I think that are more fitting to kind of close out this interview. Might be some things we've talked about in this interview, but I really. These are questions that I think are the most important, especially to me, like real beauty, wisdom type things. If you had to start your anti aging journey from scratch, what would you do differently or where would you start? How would it look like?
Sandra Lena Silverman
I would have had my face lift in my early, early 40s instead of waiting until 47 because I feel like I went down a thread and filler trap back then that I shouldn't have gone down. So that. That was a mistake. I would have started it early. I would have done the facelift earlier.
Amitaj Eshel
Okay, fantastic. What would you wish more women knew before stepping into their first med spa?
Sandra Lena Silverman
What their options are and making sure that they do the right. The right amount of research in terms of looking at reviews and making sure if they're going for injections, that they are with the right injector because it's not really the product as much as it is the injector yes.
Amitaj Eshel
Yes. I would say 80, 20. I think it's 80% the injector.
Sandra Lena Silverman
Yeah.
Amitaj Eshel
Okay. What's your philosophy now on aging? Do you still want to turn back the clock or has it evolved?
Sandra Lena Silverman
I still like. I like where I am right now, so I could stay. If I can preserve this for the next 20 years, I'm going to be very happy. So I don't really need to turn back. I don't need to look younger than I am now, but I would like to stay where I am now.
Amitaj Eshel
I used to quote. I used to use this quote a lot, and now I actually can't remember who said it, but someone brilliant like an actress said, I don't want to look younger. I just don't want to look older.
Sandra Lena Silverman
Yeah, that's exactly. That's right.
Amitaj Eshel
So what advice do you have for women in their 30s, 40s, and 50s who feel pressure to. To look younger?
Sandra Lena Silverman
Not to worry what out the outside world things. Just be happy with what you feel that you need to do. So if you're in your 30s and you want to do enhancements or 40s and you want to do a facelift or enhancements or 50s, just do it for yourself and not for anybody else.
Amitaj Eshel
Yeah. I think it's very difficult to truly believe in the beginning, especially if things feel. If you feel not good about something inside. It's very difficult to say, hey, I'm going on a journey here, and what I'm going to be proud of or what I'm going to love at the end of the day is like, the work that I've pulled in and how the work looks in the mirror. It's difficult. You want to first kind of fill in the gaping hole in your psyche around, you know, that thing that bothers you, and then you want to do the work.
Sandra Lena Silverman
But really, I did it the opposite, and it doesn't work because I wasn't happy even with all the enhancements. I wasn't happy until I did the inner work.
Amitaj Eshel
I, you know, I couldn't agree more. Okay. Really? This was a very fun podcast for me. And the reason is this. Most podcasts that we do, because we're a longevity skincare company, most of what we do is talk about, hey, how do we avoid X? How do we avoid facelift? How do we avoid Botox? And I'm not sure it's congruent with most people's experience of aging. I think most people want somewhere in between. And I was very excited to have you on.
Sandra Lena Silverman
Thank you.
Amitaj Eshel
I think we should have more discussions with someone that's in the trenches of what's going on when you do decide to do to see what technology has to offer. So we didn't cover everything, but we covered really big chunks of what I wanted today. And to your point, I don't think it's about chasing perfection. It's about knowing what's worth it inside out. Psyche skin. So I love it.
Sandra Lena Silverman
I agree. Thank you so much.
Amitaj Eshel
Absolutely. And of course, your wonderful book any. It's almost like a recipe to how to navigate everything from bullshit to Botox. I know you can get on Amazon. Where else can you get it?
Sandra Lena Silverman
Yeah, Amazon, Barnes and Noble, and then there are a bunch of platforms really all over the world right now that are selling it. But for the U.S. like Amazon, Barnes and Noble. If anybody wants to contact me, my Instagram is Sandra Lena Silverman. I have a website as well. They can email me or DM me or even if they want to set up a call. I don't charge. So I have people that will want to set up calls if they have questions or just want me to look at them and give them suggestions, whatever. So I'm happy to do that anytime.
Amitaj Eshel
Cool. And that's going to be in the show. Notes are going to be Amazon linked and your website. And listen, that was great.
Sandra Lena Silverman
Thank you.
Amitaj Eshel
Hope everyone enjoyed it as much as I did. And to everyone, we'll see you here next time. Thank you.
Sandra Lena Silverman
Bye. Thank you. It.
Biohacking Beauty: The Anti-Aging Skincare Podcast
Episode Summary: "Sandra Silverman: What Aesthetics Gets Wrong About 'Non-Invasive'"
Release Date: July 23, 2025
Host: Amitaj Eshel
Guest: Sandra Lena Silverman, author of From Bullshit to Botox
In this insightful episode of Biohacking Beauty, host Amitaj Eshel welcomes Sandra Lena Silverman, a seasoned beauty and wellness explorer and author of From Bullshit to Botox. Sandra brings a wealth of experience from various aesthetic procedures and holistic practices, offering a candid take on the anti-aging skincare industry. Their conversation delves into the efficacy of popular treatments, the emotional journey of aging, and the impact of societal pressures, particularly from social media, on women’s perceptions of beauty.
Sandra’s Top Pick: CoolSculpting [03:40]
Sandra begins by identifying CoolSculpting as the most overrated anti-aging treatment she has tried. She criticizes its effectiveness and expresses skepticism about its real benefits, aligning with Amitaj's view on similar devices.
Amitaj’s Insight: He expands on the issue, explaining the financial loop where high costs of devices like CoolSculpting fall back onto consumers without delivering proportional results. He states, “a lot of the times device, I mean most devices are not returning their investment even” [06:09].
Sandra confirms her stance, stating, “I think that they're overrated. I don't really think they work” [04:33].
Sandra’s Critique of Sculptra: [09:23]
Sandra labels Sculptra as an overrated injectable, citing unpredictable results and adverse effects like nodules. She shares her personal experience: “I had injected Sculptra in my elbows before I cut my elbow skin, and it created nodules. And those nodules lasted for a year” [10:22].
Preference for Radiesse: In contrast, Sandra favors Radiesse for its dual action as a filler and bio stimulator. She explains, “I like Radiesse because it acts as a bio stimulator as well. So I want to see results. I don't want to wait months in hopes that I will have good results” [12:05].
Amitaj’s Agreement: Amitaj concurs, noting the complexities and potential long-term issues with Sculptra, stating, “So what you have to do is kind of try to pay off the device by the time you run through those client bases” [06:09].
Overhyped Skincare Ingredients: [08:48]
Sandra discusses the pitfalls of certain skincare ingredients, particularly focusing on injectables rather than topical treatments. She emphasizes the importance of choosing products and treatments based on their actual efficacy rather than trends fueled by social media.
Embracing Biohacking: The conversation touches on emerging treatments like exosomes and peptides. Sandra mentions, “It's just so, so depending on how you inject them and who you go to” [29:16], highlighting the variability in treatment quality and effectiveness.
From Bullshit to Botox: [33:59]
Sandra shares the inspiration behind her book, aiming to provide a humorous yet informative guide for those navigating the world of aesthetic procedures. She recounts the collaborative process with her co-writer, Erica Florentine, and the serendipitous way the book's title was chosen.
Emotional Insights: Sandra reveals her shift from obsessing over external appearances to fostering internal self-love and balance. “I realized I need to work on the inside part. And that's when I started life coaching and figuring out a way to really find balance with my hormones and just feeling better every day” [37:30].
Inner Work Over Outer Enhancements: [37:30]
Sandra emphasizes the importance of internal well-being over constant aesthetic enhancements. She shares, “I have to do this procedure, that procedure. I don't really do them as much anymore. In fact, I haven't done a surgery in a while” [38:32], underscoring her journey towards self-acceptance and happiness beyond physical appearance.
Balancing External and Internal Wellness: The discussion highlights how Sandra integrates holistic practices with medical aesthetics, ensuring a balanced approach to aging gracefully.
Double-Edged Sword: [39:28]
Sandra discusses how social media serves both as a source of valuable information and a platform that can negatively impact self-esteem with unrealistic beauty standards. “I think social media can offer a lot of good information for women, but I also feel like women can feel really bad about themselves if they're obsessed with social media” [39:56].
Unrealistic Expectations: She points out the artificial enhancements seen on platforms like Instagram, explaining, “There are so many apps out there. You can change your body, you can change your face... it's like an app that's doing that” [40:17].
Choosing the Right Surgeon: [20:25]
Sandra advises against selecting surgeons who are "jacks of all trades." Instead, she recommends seeking specialists for specific procedures to ensure expertise and better outcomes. “Make sure they're specialists. Because these surgeons that do multiple face, body lifts, whatever, they're not doing enough surgeries to make them an expert” [20:25].
Effective Anti-Aging Strategies: [45:22]
Sandra outlines her top three treatments that have significantly impacted her appearance:
Philosophy on Aging: [58:25]
Sandra shares her evolved philosophy: “I could stay. If I can preserve this for the next 20 years, I'm going to be very happy.” She advocates for aging gracefully and maintaining current youthful appearances rather than striving to look younger.
Advice for Women Across Ages: [59:36]
Sandra encourages women in their 30s, 40s, and 50s to pursue aesthetic enhancements for their own satisfaction rather than societal pressures. “Just do it for yourself and not for anybody else” [59:51].
Reflecting on Her Own Mistakes: [58:09]
Looking back, Sandra wishes she had opted for her facelift earlier to avoid the complications from threads and fillers. “I would have had my facelift in my early, early 40s instead of waiting until 47” [58:09].
Closing Remarks: [61:02]
Amitaj wraps up by expressing appreciation for the honest and in-depth discussion, highlighting the importance of balancing medical aesthetics with holistic wellness practices. Sandra reiterates her commitment to helping others navigate their anti-aging journeys through her book and personal consultations.
For more insights and tips on anti-aging skincare, be sure to listen to the full episode and explore Sandra Lena Silverman's book, From Bullshit to Botox.