Will Tariffs Make Your Botox More Expensive? Are Micro-Infusions the Real Secret to Glass Skin? Plus More Esthetics News You Can Use with Board Certified Physician Assistant Gabby Garritano

Summary

Breaking Beauty Podcast Episode Summary
Episode: Will Tariffs Make Your Botox More Expensive? Are Micro-Infusions the Real Secret to Glass Skin? Plus More Esthetics News You Can Use
Guest: Gabby Garrettano, Founder of Jacked
Release Date: April 30, 2025

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1. Introduction to Gabby Garrettano and Jacked

Gabby Garrettano, a board-certified physician assistant, joins hosts Jill Dunn and Carlene Higgins to discuss the evolving landscape of medical aesthetics. With over 15 years of experience working alongside top plastic surgeons and dermatologists in New York City, Gabby founded Jacked—a reputable medical aesthetics clinic celebrating its sixth anniversary and expanding to new locations in Los Angeles, Brooklyn, and New Jersey.

Key Points:

• Professional Background: Gabby started in aesthetics at 19, inspired by her mother's battle with breast cancer ([09:18]).
• Jacked's Philosophy: Emphasizes safety and expertise, with all practitioners being board-certified PAs or nurse practitioners ([10:44]).

Notable Quote:

Gabby Garrettano [09:26]: "I've been getting Botox for over 10 years... my medical background really allowed me to flourish in my career."

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2. Trends in Injectables: The Growing Popularity of Botox and Fillers

The podcast delves into the rising popularity of injectables, highlighting significant increases in procedures such as Botox and dermal fillers. Gabby shares insightful statistics and discusses how the industry continues to expand despite varying headlines.

Key Points:

• Increasing Demand: In 2023, over 4.7 million Botox procedures and nearly 3.5 million dermal filler procedures were performed in the U.S., marking significant year-over-year growth ([00:29]).
• Evolution of Services: Modern injectables are moving beyond traditional areas, incorporating comprehensive facial treatments.

Notable Quote:

Jill Dunn [00:58]: "In spite of the headlines, this is a space that is just growing and growing and growing."

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3. Advanced Procedures: Nefertiti Lift and Aqua Gold

Gabby introduces advanced injectable techniques like the Nefertiti Lift and Aqua Gold micro-infusions, explaining their benefits for achieving natural, harmonious facial aesthetics.

Key Points:

• Nefertiti Lift: Targets platysmal bands in the neck and lower face to create a lifted appearance without surgery ([26:20]).
• Aqua Gold Micro-Infusions: Combines neuromodulators with hyaluronic acid and vitamin C for enhanced skin hydration and pore reduction ([22:37]).

Notable Quotes:

Gabby Garrettano [26:20]: "The Nefertiti Lift is named after an ancient Egyptian queen for a very graceful and slim neck... we're using it to inject the platysmal bands."

Gabby Garrettano [23:32]: "Aquagold is actually not an injection. It's a micro infusion... we are depositing some Botox."

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4. New Neuromodulators: Letybo and Market Competition

The discussion shifts to emerging neuromodulators like Letybo from South Korea, which promises to be 30% cheaper and longer-lasting than existing options. Gabby expresses cautious optimism, emphasizing the importance of clinical trials and proven efficacy before widespread adoption.

Key Points:

• Letybo's Entry: Recently FDA-approved, positioning it as a cost-effective alternative to established brands.
• Safety and Efficacy: Gabby stresses the need for thorough clinical evaluation before integrating new products into practice ([33:32]).

Notable Quote:

Gabby Garrettano [33:32]: "If any product is leading with, 'I'm cheaper,' I typically raise an eyebrow. No pun intended there."

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5. Impact of Tariffs on Botox Pricing

Carlene Higgins brings up concerns about potential tariff-induced price hikes for Botox. Gabby provides clarity based on her direct communication with Allergan, confirming that Botox pricing remains unaffected. However, she notes possible cost increases for medical supplies sourced from China.

Key Points:

• Botox Pricing Stability: No immediate price increases expected for Botox despite tariff discussions ([28:57]).
• Supply Chain Concerns: Potential nominal cost hikes for supplies like gauze and gloves due to international sourcing ([29:16]).

Notable Quote:

Gabby Garrettano [28:57]: "As of this morning, they are saying that it is not going to affect our pricing."

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6. Fillers: Current Preferences and Techniques

The conversation turns to dermal fillers, with Gabby highlighting the importance of selecting appropriate fillers based on facial anatomy and desired outcomes. She discusses products like Juvederm, Restylane, and Sculptra, emphasizing customization for natural results.

Key Points:

• Product Selection: Different fillers (e.g., Juvederm for volume, RHA for flexibility) are chosen based on treatment area and patient needs ([31:23]).
• Sculptra Usage: A bio-stimulatory filler that enhances collagen production, offering long-lasting results ([48:26]).

Notable Quotes:

Gabby Garrettano [31:28]: "The dose is tied to duration. If you aren't getting your longevity on a certain drug, you may want to increase your dose."

Gabby Garrettano [48:26]: "Sculptra is plla, so it's different from HA filler. It is a bio-similar filler... it's almost like a fertilizer that we're injecting into the skin."

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7. Polynucleotides and Regenerative Medicine in Aesthetics

Gabby explores the burgeoning field of regenerative medicine within aesthetics, focusing on polynucleotides and their benefits for skin rejuvenation. While not yet FDA-approved for injections, she acknowledges their potential based on international use.

Key Points:

• Regenerative Treatments: Products like polynucleotides aid in wound healing and collagen stimulation, enhancing skin texture and elasticity ([50:42]).
• Future Prospects: Anticipation of more advanced regenerative products entering the U.S. market in the coming years ([52:19]).

Notable Quotes:

Gabby Garrettano [50:42]: "We're doing some of these products out internally... improved wound healing and improvements of the benefits of the skin."

Gabby Garrettano [52:19]: "Regenerative medicine is just super hot right now... no one has downtime anymore."

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8. Skincare vs. Injectables: A Holistic Approach

The importance of combining medical-grade skincare with injectables is emphasized. Gabby advocates for a comprehensive skincare regimen that complements injectable treatments to maintain and enhance aesthetic results.

Key Points:

• Complementary Care: Combining injectables with skincare products like retinoids, vitamin C, and sunscreen for optimal results ([53:27]).
• Medical-Grade Skincare: Investing in scientifically-backed skincare enhances the longevity and effectiveness of injectable treatments.

Notable Quote:

Gabby Garrettano [53:27]: "We really should be using at home medical-grade skincare products. Investing in these products is extremely important."

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9. Choosing the Right Practitioner: Essential Questions and Red Flags

Gabby provides valuable advice on selecting qualified practitioners for aesthetic treatments. She outlines key questions to ask and highlights red flags to watch out for to ensure safety and satisfactory outcomes.

Key Points:

• Questions to Ask: Credentials, before-and-after photos, FDA approval of products, pre and post-care protocols ([37:24]).
• Red Flags: Unusually low pricing, non-FDA-approved products, lack of transparency, and poor communication skills ([37:31]).

Notable Quotes:

Gabby Garrettano [37:24]: "If the pricing is too good to be true, it's probably a red flag... asking for credentials from the injectors."

Gabby Garrettano [37:31]: "Are there any products that they're using that aren't FDA approved? If they're injecting something not FDA approved, I would have concerns."

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10. Aftercare and Maintenance for Injectables

The episode covers best practices for aftercare following injectable treatments, ensuring patients maximize their results while minimizing potential side effects.

Key Points:

• Dos and Don'ts: Avoid blood thinners like aspirin and alcohol before treatments, refrain from intense exercise on the day of injection, and wait to use at-home skin devices post-treatment ([38:53]).
• Maintenance Schedule: Regular treatments every six weeks help sustain results, with the flexibility to adjust dosages based on individual responses ([25:39]).

Notable Quotes:

Gabby Garrettano [38:53]: "Avoid exercise the day of. Ask your specific provider because everyone has different preferences here."

Gabby Garrettano [43:13]: "Once we start seeing those wrinkles reappear at rest, this typically when you know you're due for your next treatment."

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11. Future Trends in Medical Aesthetics

Looking ahead, Gabby expresses excitement about regenerative medicine and its integration into aesthetic practices. She anticipates advancements that offer longer-lasting, more natural results with minimal downtime.

Key Points:

• Regenerative Innovations: Continued development of products like exosomes and biosimilar fillers that not only fill but also stimulate the body's own collagen production ([56:02]).
• Holistic Treatments: Emphasis on treatments that provide both immediate and long-term skin health benefits without the need for extensive downtime ([56:02]).

Notable Quote:

Gabby Garrettano [56:02]: "Regenerative medicine is just super hot right now. Everything from polynucleotides... it's really exciting."

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Conclusion

Throughout the episode, Gabby Garrettano provides an in-depth look into the current state and future of medical aesthetics. From innovative injectable techniques to the integration of regenerative medicine, listeners gain valuable insights into achieving natural, lasting beauty enhancements. Gabby's expertise underscores the importance of safety, customization, and a holistic approach in aesthetic treatments.

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Notable Additional Quotes:

Gabby Garrettano [22:37]: "We're able to achieve that with our Aquagold treatment... decreasing sebum production in the skin."

Gabby Garrettano [44:17]: "Most of our patients coming in to Ject are getting a combination of wrinkle reducer treatments and their fillers."

Gabby Garrettano [47:14]: "We have Hyalinex. We can dissolve it usually immediately after."

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For more information on the products and services mentioned in this episode, visit breakingbeautypodcast.com.

Transcript

[Jill Dunn]

The following podcast is a dear media production. Welcome to Breaking Beauty the Podcast, all about the breakthrough people, products and moments in beauty.

[Carlene Higgins]

We're your hosts, Jill Dunn and Carlene Higgins. Welcome to Breaking Beauty Podcast, everyone. I'm one of your co hosts, Jill Dunn, and I'm here alongside my fellow co host, Carlene Higgins. Hey, Carlene.

[Jill Dunn]

Hello, Jill. And today is Wednesday. That means we're back in your feed with the breakthrough people, products and moments in beauty. We are two beauty editors turned beauty podcasters and we've welcomed everyone from Makeup by Mario on the show, dermatologist Dr. Shereen Idris, celebrities like Kate Hudson, Tracee Ellis Ross, and of course, every month we bring you our damn good episodes where we edit and review what's popping in the beauty aisles.

[Carlene Higgins]

And as journalists by trade, we love to nerd out on products, on skin care, on celebrity tips. And that's why I'm really excited for the juicy topic of the hour. Consider this your primer about what's new in anything minimally invasive injectables like Botox, filler, and so much more. There's really so much ground to cover here. So whether you're a complete newbie thinking about trying neuromodulators for the first time or a seasoned pro like me, like that's been hooked for a hot minute, there's definitely something for everyone in this episode. And Carlene, here's a fun little step that I dug up. According to the American Society of plastic surgeons, in 2023, there were over 4.7 million procedures in the United States using Botox or Botox alternatives like Dysport and Xeomin. That's a 6% increase from the previous year. And dermal fillers also saw significant use with nearly 3.5 million procedures performed. So that was up from the year before as well.

[Jill Dunn]

So in spite of the headlines, this is a space that is just growing and growing and growing. And that's why we are chatting with our VIP sponsor of today's show, Jacked. We are speaking to the founder. Her name is Gabby Garrettano. She's a board certified physician assistant who, outside of Jack, serves on the Allergan Aesthetics Advisory Board. She's also an Allergan Medical Institute trainer and a member of the American Academy of Physicians Physician assistants. Super knowledgeable, and of course, the owner of Jacked, which is celebrating its sixth anniversary this year. They just opened their location, Jacked in Los Angeles, which Jill and I got to visit. And they have new outposts coming. They have one coming up in Brooklyn and The next one's in New Jersey.

[Carlene Higgins]

And Gabby, she spent many years working alongside top plastic surgeons and dermatologists in New York before launching Jacked, where you can get everything done from standard facials to lasers like Moxie and broadband light skin microneedling, aqua gold fillers, neuromodulators and so much more. Anything non invasive, they've got you covered.

[Jill Dunn]

And I really like that. Everybody who works there as a practitioner is a board certified physician assistant or nurse practitioner. So you know you're in good hands as soon as you walk in the door. I think that's so important. And we loved our experience as well. We went to the LA location and first of all, it's like the scandi, minimalist, gorgeous space, like so bright and clean. And they just treated us with like kid gloves. You know, I'm a little bit of a baby when it comes to injectables, so I just love that. Not only did they give me the squishy ball, but like as I was getting my treatment they actually, she actually brought in the receptionist who on the opposite side of where I was getting injecting was like tapping my shoulder, tapping my forehead, like just giving me almost like a little like ASMR experience where it just was like distracting me from all of the injections I was getting. And it worked like it was fantastic.

[Carlene Higgins]

Yeah, yeah, Safe space for sure. And you hadn't had injectables in a while. And I was like, oh, she's just probably gonna get Botox too. But then you're like, I got enough for TD lift. I'm like, I go, what?

[Jill Dunn]

Oh yeah, I went for it, I went for it. I just felt so comfortable there. And yeah, this is an area of my face that had been kind of bothering me. Like at some point in time I will get a lower facelift. And so it was 16 needles, like basically starting from my jawline and going vertically to like the bottom of my neck. So you're getting four injections in four rows across.

[Carlene Higgins]

I see.

[Jill Dunn]

And so it is working on those bands. That's where the muscles are. And just like we're going to talk about this, she's going to explain the actual procedure later in the episode. But basically the. It's meant to kind of freeze those muscles so you're not getting that pull down which is causing that sagging lack of a jawline that I have. So that's what I experienced. And I noticed like, I noticed an improvement. It's not like a lower facelift improvement, but it is enough where I feel like I would consider doing this on a regular basis, maybe playing with the amount that I'm being injected. So I love that.

[Carlene Higgins]

And it's so beautiful in there. It's like Instagram worthy, you know, And I think that that's what they've done so well is like they've branded the experience. So in today's conversation with Gabby, we're covering the 101 of what you need know about injectables. Everything from before and after care, what you can expect to pay, how often you should go. Plus new and improved uses for drugs like Botox because there's so many popping up and coming to market. Gabby shares her insights on this brand new neuromodulator that's out of South Korea. It just got FDA approval and it's said to be 30 cheaper and it lasts longer. Like, is it too good to be true? We ask her about that.

[Jill Dunn]

We also find out what to know about polynucleotides, how they're changing the whole injectables landscape. And just before we dive in, I want to share that we have an exclusive promo at Jacked. If you'd like to try a service for yourself, you can visit Ject us and use code breaking beauty at checkout for 20 off your first treatment with checked. We're going to link to this offer in our show notes and on our website. Welcome to the show Gabby.

[Gabby Garrettano]

Sa.

[Jill Dunn]

This episode is brought to you in part by strivectin. Now, we've been talking all about injectables today, the undetectable era. How to make tiny tweaks work for you so you're aging well over time instead of a radical shift where people don't recognize you. Nobody needs that. So you need to know about strivectin's new peptide Plump collagen cushion cream. It's a next gen wrinkle cream that was clinically tested on women considering injectables. And after four weeks, 97 said they would choose this cream over injectable filler. This is based on self assessment. It was a questionnaire for 35 women after four weeks of use. And now what's the magic behind it? Strivectin's exclusive Alpha 3 peptide technology. It was created with artificial intelligence and it basically targets all three of skin's building blocks. That's collagen, elastin and hyaluronic acid. And it's also boosted by the ingredient argireline. I hope I'm saying that right. That's another smoothing peptide that improves the appearance of fine lines, wrinkles and lost volume with daily use, it's clinically proven to improve the look of all of those fine lines. They actually used expert grading evaluation on the 35 subjects to show those results. And it's got this great cushiony texture, kind of gives you that bounce back so your skin feels springy and kind of tighter when you use it. So whether you're getting injectables and using this to maintain results or you're not ready to take the leap yet, this is a great product to try. If you know Strivectin, you know they've been leaders in the market for 20 years. They have a best selling stretch mark cream neck cream and they're really known for their NIA114 ingredient that's said to be better than niacinamide. It's a supercharged molecule that's clinically proven to boost their formulas and help skin act younger. So check it out. Strivectin. Discover the science behind great [e-mail] Are.

[Maddie Murphy]

You looking for some good clean positivity?

[Carlene Higgins]

Good.

[Maddie Murphy]

Me neither. I'm Maddie Murphy and I host the Bad Broadcast, a weekly comedy podcast dedicated to talking about everything we love to hate. I searched my whole life to find my passion. Little did I know I had been practicing my true talent every single day. Complaining. Join me every Monday wherever you listen to podcasts and be sure to follow me on Instagram at the Bad Broadcast to answer our weekly questions and for a chance to be featured on the show. See you there.

[Jill Dunn]

Welcome to Breaking Beauty Podcast. Gabby, maybe you could tell us just as a starting point where your passion for the medical aesthetics community came from.

[Gabby Garrettano]

I would love to and thank you so much for having me here today. So believe it or not, I started working in aesthetics when I was 19 years old.

[Jill Dunn]

Wow.

[Gabby Garrettano]

So I've, I've been getting Botox for over 10 years. So I've been in this industry for quite some time. I my mother was diagnosed with breast cancer when I was 19 years old and she's doing great today. But that allowed me to as a pre med at the time I started working with her plastic surgeon and I just became obsessed with the industry and as I moved to New York City about 15 years ago for graduate school, I am a board certified pa. I started working with some of the top plastic surgeons on the Upper east side and really just fell in love with the industry then to see people coming in for injectables. We can see results immediately with dermal fillers and it just had kind of a blend of Science and artistry and my medical background really allowed me to flourish in my career and just really started from there. On that BR side, I love this.

[Jill Dunn]

Idea of Jacked because Jill and I have been beauty editors for like 20 years. So, you know, we've also watched the evolution of the industry and I kind of feel like Jacked is like that reliable, almost like hair salon that, you know, that you can go to and you're going to get like the best blow dry. Like when there was blow dry bars.

[Gabby Garrettano]

So all of our injectors are PAs or board certified nurse practitioners.

[Jill Dunn]

Okay.

[Gabby Garrettano]

And so they also come into Jack. Like, I know you saw Grace in la.

[Jill Dunn]

Yeah.

[Gabby Garrettano]

She had been working in one of the top esthetic practices in Chicago for many years before she came on to Jack. And so I think, I mean, I love the concept of that lunchtime Botox or you think of, you know, blow dry. Dry bar.

[Jill Dunn]

Yeah.

[Gabby Garrettano]

And I think that really inspired me earlier on. And so when you hear the name Ject, you think, oh, that's where I go get my Botox or my fillers, my injectables. And so I'm moving to a new area. I want to, I want to go to that place because it's reputable and it's safe. But I think I kind of say that with caution when we compare it to a blowout because it's also really understanding that there are adverse reactions with some of these procedures. And we really are hiring people that have experience in the industry. They have plastic surgery experience, dermatology experience, anesthetics. And so they can come in and be true experts in this industry and know how to manage any complications if it was to occur, how to do a full face consultation and put you on the right treatment plan. And you, when the moment you walk into Jacks, from the moment you're saying hello to the front desk or store managers, they all have a background in aesthetics. And so you're coming to a place that this is what we do all day, every day.

[Jill Dunn]

Yeah. And no offense to dermatologists who do esthetics as well, but like, I have such a hard time getting a dermatologist to treat something that's not like Botox or esthetic related. It's like, I need help here, people. And it's really hard to find. Like, let's let them do their jobs. We're originally drinking.

[Carlene Higgins]

Sorry, the side conversation. But they don't want to because it's far more lucrative to.

[Jill Dunn]

I know. Well, that's the point.

[Carlene Higgins]

Yeah, it's. Yeah. So so you're saying put them out of business? No, I'm joking.

[Jill Dunn]

No, I'm saying, can they remove this weird growth that I have instead of like, no, you know, giving me Botox?

[Carlene Higgins]

I definitely find that's the trend. They don't want to do any of that anymore. Like, you know, I know.

[Jill Dunn]

I literally, I can't even get them to return my calls. Yeah, like, yeah, the place that I'm watching, it's. It's just like, wow.

[Gabby Garrettano]

Well, I think. And that's. You kind of hit. Hit the nail on the head with one. You know, we have that single focus. This is all we're doing as aesthetic. But then we're thinking about the accessibility component too. Even seven years ago, when I open Jacked, there was no such thing of a 7pm Botox appointment. I mean, even when I worked in plastic surgery, the office was closed at 5 every single day of the. We weren't open on weekends. There was no such thing as online booking for a Botox appointment. And so it was extremely important to me to focus on these things. As we think about the modern woman right where we're extremely busy, we don't have time to be calling to schedule a Botox appointment 20 different times. You know, we really want to think about the ease and accessibility of bringing these services to market.

[Carlene Higgins]

Just speaking of, I was reading an article in the New Yorker. It came out a couple of weeks ago and I was kind of laughing because the. The person who wrote the article was talking about matching up her version of what aesthetically pleasing is with the injector. And she was talking about the first time that she went in to get an injectable. And she said, I quote, if she, the injector had an anti aging motto, it was quote, harness all available technologies. And if I had one, it was quote, absolutely do stuff to my face, but make sure it's subtle. Because possibly worse than looking older is looking death desperate to appear younger. And I totally related to that experience because I've been invited to certain spas or medical aesthetic clinics over the years, present company excluded. And let's just say we did not seem aligned on the results we were aiming for. So how do you navigate that? What is that? How do you train people to get like a natural result and maybe the patient wants more or less, like, it seems a little bit tricky. How do you navigate that?

[Gabby Garrettano]

For us, it's very important that we display a natural aesthetic online so our patients understand that we are a very natural aesthetic practice. And that's really kind of Our core value at heart. And I think as far as the training, it's understanding how are we replenishing volume loss as we age and thinking about how do we age gracefully and use aesthetics to our advantage. And I think it's just a different mindset than, hey, someone's bringing in a picture of a lip that wants to look, you know, like an overblown lip. And it's like, no, that may not fit your anatomy. We really want to recommend what's the best result for you. And I think ultimately, I've seen thousands of patients object. I would say none of my patients are desperate to look younger. And it's more, hey, I just have my 50th birthday, and I feel like I'm 30. Like, I want to look the way I feel, like I'm out playing pickleball every day or, you know, going on vacation with my kids coming up. And I just want to look refreshed. I want to, like, look and feel my best. And so I think the fact that we can use these procedures and treatments to provide a very natural aesthetic is extremely exciting. And for me personally, too, it's been very important that I always display a natural aesthetic. And I've. I've done every service on our menu.

[Jill Dunn]

I want to ask you about trends. What is the newest and most interesting way that you're using neuromodulators?

[Gabby Garrettano]

That's a great question. I mean, we know Botox that came out in 2002. So it's been out 20 plus years now. We, you know, it's simple as in fact that we know we're injecting a muscle, we're inhibiting a neuromodular junction, so inhibiting that muscle from overactive movement. Right. So we're slowing down that activity. And so I'd say more recently. So is FDA approved for the glabellar lines between the brows. We've also been using it in the frontalis and the crow's feet. But now we've been able to see the power behind injecting the lower face. And so I know, you know, you've heard about the Nefertiti lift, but also injecting the platysmal bands, the mentalis muscle along the jawline. And so we actually did an internal study at JECT with just doing Botox or neuromodulator injection to lower and upper face. And we saw a restored look in the mid face. And so that was really exciting. By just doing it was over 100 units of neurotoxin that patients they had improved cheek and under eye volume and just overall looked more restored. So we use a vector camera and we can actually see that positive volume improvement. And so I think it's kind of caught on like wildfire. Thanks to social media, people can really see how we're using botox in different areas of the face. And I'm a huge advocate. I tell people we want to inject these muscles because they're working in harmony with one another. So we want to inject the upper and lower face. It's kind of weird, right? If you slow down your activity upper face and then your lower face is making all this activity of dimpling in the chin, you want it to look very harmonious, I would say with the Barbie movie coming out, the trap Botox, the Barbie botox became very popular. And that's another one where I think patients also notice a nice relief in the shoulders. I think everyone's tense from, you know, working at home these days. And so that's also been a really nice one.

[Jill Dunn]

H Interesting.

[Gabby Garrettano]

Sa.

[Carlene Higgins]

Newly is one of our show partners this week. So this is about my third month trying Newly everyone. And I am in love with this subscription. So Nuuly is a subscription clothing rental service and for just $98 a month you get your choice of any six styles. So you can choose whatever you want to rent for whatever you have going on. It's totally up to you. And you have access to thousand of styles from more than 400 brands. Brands like a Goldie, Madewell for loving, lemons, Hill house, Farm, Rio Free people and so many more. And they have inclusive sizing up to 5x as well as petite and maternity. And there's fast free shipping and returns. And you don't even have to worry about laundry because Nuuly has professional cleaning in a state of the art laundering facility on site. So you can just send it back and you don't even need to do the laundry and you get the option to buy what you love at a discount out. And I really appreciate that with Nuuly, it allows you to bring your closet up to speed for the season without breaking the bank. You can try new styles, new trends and more when you rent with Nuuly and you skip that fast fashion ick feeling. And Nuuly is honestly fun because it gives you everything you need to get inspired, get creative and explore your style without making commitments. And you can kind of free up your closet from impulse purchases and skip that buyer's remorse by renting instead. And I also appreciate that Newly Nuly, it's flexible. There's no fees, late fees, damage fees, or fees to pause or cancel. So it's no big deal if you lose a button, spill something, or just want to take a break. Nuuly is a great value at 98amonth for any six styles. But right now you can get 28 off your first month of Nuuly. When you sign up with the code Beauty, just go to n U-U-L-Y.com that's newly with two U's and enter the code Beauty and sign up to get 28 off your first month. That's N U-U L Y.com newly with two use with code BEAUTY. Newly subscription clothing rental. Change your clothes. We'll link to this offer in our show notes and on our website.

[Jill Dunn]

This episode is brought to you in part by Beam Kids.

[Gabby Garrettano]

Hey, Ry.

[Ry]

Hi.

[Jill Dunn]

Guess what? I have a surprise for you.

[Ry]

What is it?

[Jill Dunn]

Well, dad and I were in LA last week and we got you the Beam Kids all in one super powder, just like you asked for.

[Ry]

Oh, yeah.

[Jill Dunn]

You gotta tell everybody why you love this stuff so much.

[Ry]

Well, it takes, like 40 seconds to make and it tastes really unhealthy, but it's so good for you. You.

[Jill Dunn]

What does it taste like?

[Ry]

Unhealthy.

[Gabby Garrettano]

Chocolate milk.

[Jill Dunn]

Chocolate milk? How many of them do you drink in a day?

[Ry]

Like three or four.

[Jill Dunn]

That's incredible. I'm so excited to introduce everyone to Beam Kids all in one super powder. It just launched and you need to get your hands on it today. It has more than 40 essential ingredients to fuel healthy growth, including greens, pre and probiotics, fruits and vitamins. And what's even better, it comes in a chocolate milk flavor that kids like. Mine really like. Like, how do you like to use it? Right.

[Ry]

I like to use the frother because it just takes like 20, 20 seconds. And they gave us the frother actually in a nice box. It, like, came with the packet, a really nice cup. And the frother, the cup, I was shaking it upside down with the drink in it, and it didn't leak at all. And it was like a straw. So it's pretty good.

[Jill Dunn]

Well, I'm very grateful that it didn't leak everywhere. And the frother meant there were no clumps, right?

[Ry]

Yeah, it was so good.

[Jill Dunn]

Amazing. Well, Beam Kids is now available [e-mail] beauty and because you're a listener of our show, you can take advantage of their limited time pricing of up to 35 off, plus two free gifts. Using code Beauty.

[Ry]

Get your beam, kids and your free gifts by heading over to shop B E A M Beauty. Enter the code Beauty that shop B-E-A-M.com Beauty and use the code Beauty for up to 35 off.

[Jill Dunn]

And now back to the show.

[Carlene Higgins]

What about that South Korean trend where they sort of like pinpoint all different? Like, I feel like there's like pinpoints all over the face. Yeah. What do you call that again?

[Gabby Garrettano]

So we're able to achieve that with our Aquagold treatment. And so I believe we are talking about is mesotherapy. And so we know Botox and neuromodulators. When injected superficially into the skin, it shrinks the pore size. So that's how we get that, like poreless skin glass, like skin. It decreases the sebum production in the skin. So less oily. It's nice for men. And then also less redness or flushing. Flushing in the skin as well. So if you have, you know, a big meeting coming up where you get flushed or you look a little bit nervous before, this is amazing option to, to. There's just like so many amazing things that we can do with neuromodulators, right. Called like the miracle drug. Everything from slimming the necklines to improving lines and wrinkles, sweating, headaches. So there's so many different ways that we can. We can use this drug.

[Jill Dunn]

So you said it's called Aqua Gold.

[Gabby Garrettano]

Is that what it's called?

[Jill Dunn]

Okay, so, yeah. So what is actually being injected with Aqua Gold?

[Gabby Garrettano]

So Aquagold is actually not an injection. It's a micro infusion. It's about 0.6 millimeters deep. So we're take the level of the skin. We're actually taking the needles in the Aqual. There's 24 karat gold needles. And we're going right below the layer of the skin and we are depositing some Botox. And so, Jeff, we have like our own custom cocktail that we've used. We're, I believe, the number one user of Aqua World in the country. We've done so many treatments. And so I created this cocktail about six years ago. It's a combination of 16 units of neuromodulator, 0.2 mls of hyaluronic acid. So with a hyaluronic acid, you get that hydration to the skin a little, not like filler where, you know, we're putting it into the subcutaneous. It's just going into the skin. And a little bit of vitamin C for just brightening the skin.

[Carlene Higgins]

I saw that on your menu. I'm getting that next time.

[Jill Dunn]

I mean, I feel like, honestly that would be something I'd be so interested in because that's my. One of my number one complaints as I age is like that my pores just feel like they're so. The texture is so present. And, and I also do have like mild rosacea, so I have that in my T zone. So this all sounds great. Except I do have a question about the vitamin C because my skin cannot tolerate topical vitamin C. So we, we.

[Gabby Garrettano]

Wait to add the vitamin C and we ask every patient if you have any sensitivity. So we would just not add the vitamin C. And it's nice because you can customize it, you can put PRP into the device. There are other options as well, but that's kind of. I would say the neurotoxin in the device is, is definitely the gold standard because that's where really see the shrinking in the pores. And that glass like, is like skin. And so we see this a lot throughout the summer where there's no downtime. A lot of brides before weddings coming in. And once you try it, like I want to do this all the time, it's amazing.

[Jill Dunn]

Well, that's actually how often do you need to do it to get to maintain that result?

[Gabby Garrettano]

So if, if we did one today, so the results would kick in, you would start seeing it improve each day. But it kind of peaks at that like seven day mark. And we typically recommend doing it about every six weeks.

[Jill Dunn]

Okay.

[Maddie Murphy]

Wow.

[Gabby Garrettano]

It's kind of like with your Botox injections, the longer you do it, kind of longer it lasts. So I would say, you know, you could do a series of three every six weeks apart and then go to like a quarterly aqua gold.

[Jill Dunn]

What I actually got done when I went in was the Nefertiti Lift. So that, that was interesting. I hadn't heard of that. But you know, this was to deal with all of the like hanging skin that I have under my neck. But maybe you could explain more formally what is the Nefertiti lift.

[Gabby Garrettano]

So the Nefertiti Lift is actually named after an ancient Egyptian queen for a very graceful and slim neck. But what it is, is a lower face. Injections of Botox or any neuromodulator that of your choice. And so we are using it to inject the platysmal bands, which is a large muscle around the neck. Neck and the lower phase. So that would be the dal muscle, the depressor angularis oris, typically the mentalis muscle and just a little bit along the jawline as well. So the concept behind that is the platysma is a depressor muscle. It pulls things down, whereas when we inject our neuromodulators, it causes the opposite reaction. Right. So we're going to get a little bit of a lift in that area. And so that's where we're seeing really nice and even, like, jawline improvement of jawline definition. It's just, I think when patients haven't had the lower face injected and then they do it for the first time, they're like, wow, this is really a game changer. I love this. And I think too, from a surgical perspective, I tell my patients, if there's anything we can do to help prevent or prolong that surgery. And you notice these bands are. You can see I've been injected. So, you know, you see those bands popping out, it could be stretching the skin. Right. So think about it as a preventative perspective, too, to really kind of stretching out that neck skin and causing laxity as well.

[Jill Dunn]

Yeah. So I do. I do notice an improvement. I mean, I think just for transparency, like, so people know it's not like a lower face lift. Right. It's like you get kind of like a reasonable amount of improvement. And so that I'm guessing, would be just like other forms of neuromodulators where I would be going back every, like, three months kind of thing. Right. To maintain the result. Yeah, yeah.

[Gabby Garrettano]

And it's nice. And maybe going back, we can take some after photos, then perhaps next time increase your dose a little bit. And so that's what I tell people too. Like, this is a journey. Right. And so it's gonna. It may take some time to get, like, your perfect dose. And we know dose is tied to duration. This is a big muscle. So sometimes we may need to increase that dose a little bit as well.

[Jill Dunn]

Yeah, yeah. I. I'd rather start low and build up, honestly. So I appreciate that. Back to the motto idea. Low and slow.

[Gabby Garrettano]

Exactly. Yeah.

[Carlene Higgins]

I was recently reading in the cut that tariffs could make Botox or neuromodulators more pricey. So that was. I was kind of surprised to hear that. So is that accurate in your business?

[Gabby Garrettano]

So I actually called my contact at Allergan this morning because I'm like, I want the most recent data that I can find. And. And so as of this morning, they are saying that it is not going to affect our pricing. It's a pharmaceutical drug. And so to their knowledge, they do not See any price increases coming.

[Carlene Higgins]

Okay.

[Gabby Garrettano]

The one thing I'll say on the business side is I, I do have a little concern on our medical supplies. And some of those supplies like gauze and gloves, things like that, even the water, normal saline that we mix some of our products from can be coming from China. So we are bringing on a new operational system. It's a software system and so it'll vet each morning and tell us this is the most competitive pricing and this is where we should order this product or supply from. And so that's something that we are bringing on in the next few weeks.

[Carlene Higgins]

Wow, fascinating. So potentially some cost increases for services, but sounds like kind of nominal. Would be passed on to the customer.

[Gabby Garrettano]

Yeah, totally. These are definitely nominal costs when compared to something like Botox.

[Jill Dunn]

Now we talk about these terms. We, we, we use the word Botox like we use the word Kleenex. But of course there's a bunch of different neuromodulators now. There's Dysport, there's Daxify. So what are the ones that you like to work with the most and why?

[Gabby Garrettano]

I think sometimes people can almost have like a negative stigma against like, oh, there's more spread to this one or less spread to. But we actually use that to our advantage. So an example of this is made for a male patient with a very large forehead. We love that Dysport may have a little bit more spread and isn't as precise, which is, you know, Botox is kind of branding and the most precise toxin. Right. So we may use Dysport to our advantage for someone that may have a larger surface area. I find that Jabot, which is kind of known as the new tox made by Evelyn, this to be the most precise. And we love using that in the lower face because we don't want to see any of that spread in the lower face. And so I would say in some patients we could be using multiple different drug names throughout the face. Not in the same area, but in different areas like upper face and lower face. And so I think like anything else, the more competition in the market, the better for us. It's yielding better results. And so I think it's actually great that we have multiple different drugs. Drugs.

[Jill Dunn]

Yeah.

[Carlene Higgins]

Which of them do you actually think in practice lasts longer?

[Gabby Garrettano]

This is a great question. There is a clinical trial. I was like trying to find out. It was already published. It's not published yet. I will send it to you the minute I have it. That is doing a head to head clinical trial on longevity of all These products. So with that being said, I think so. This, for example, a patient will come in and say, I do not want Daxify. It did not work on me. And then I'll say, you know, well, how much dose did you get? And they're like, oh, I just asked for the baby. Botox is half the dose. So, you know, I think we have to. There's a little bit of a caveat to this. So if I think, unfortunately, the drug kind of gets a bad rep when a lot of it has to do with the injection technique and the dose of the drug. We know the dose is tied to the duration. So if you aren't getting your longevity on a certain drug, you may want to increase your dose. And also one drug that works really well for. For me may not work as well for you. And so I think also making sure you're going back at your two weeks, you're taking your after photos so we can monitor the progress. And maybe we're using today. We may want to mix it up in a year and do something new. I personally have been using Jeuveau the last few years. I love it for myself, personally, because I find that I don't have that, like, frozen type of feel afterwards. We've been able to increase my dose, and I still have some nice movement afterwards. So it's night. I really enjoy having some movement after my injection. So some patients are like, I don't want to move at all. And that's fine too. But I think it is somewhat patient specific as well.

[Carlene Higgins]

Right. What can you tell me about Letybo? So it's spelled L, E, T Y B O. And I just read it's a neuromodulator that was just approved by the FDA about a month ago for treating the globular lines or the 11s. And from what they're saying and what I've read in other publications, it's 30% cheaper and lasts longer. So have you had any experience with this product yet?

[Gabby Garrettano]

So the first thing I will say, if any product is leading with, hey, I'm cheaper. I typically. I typically raise an eyebrow. No pun intended there. So, you know, I think we learn this through Javo. Coming to market, Dax, by coming to market, any new product that's coming to market, we proceed with caution. There needs to be an internal clinical trial within the practice. So our medical director is actually doing that right now with Letbo.

[Carlene Higgins]

Letbo.

[Gabby Garrettano]

Okay, thank you there. Yeah, I pulled up their PI this morning because I just wanted to look at the clinical trial that they have actually in the insert in the box and they studied it at four weeks. So I'm not finding any clinical research that has proven Lativo lasts longer. We know that Letbo was the first drug to market in Korea. And so I think K Beauty and you know, some of these Asian trends are really on market right now. So I would say there's probably some excitement from that. But I think just being mindful, you know, Botox was the first drug that came to market in the US over 20 years ago. There's like millions of people that have been treated with it. It's very safe and effective. And so I think because we have so many great options right there right now, I just wouldn't race to use a new product and start injecting it in my patients. And sometimes it's nice to let your colleagues test it out, let them use the cheaper product and then let you know. And I just for me and at Jacked, we really want to make sure that, that our product because we're treating so many patients every single day that we want to make sure every patient that's being treated today is going to have the best result possible.

[Carlene Higgins]

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[Jill Dunn]

So what are the questions you'd recommend that somebody should bring to the table to ask a practitioner to really get the best results and just not have any surprises?

[Carlene Higgins]

Like what are some red flags? Maybe should they be asking for before and after? Should they be asking for credentials from the injectors?

[Gabby Garrettano]

I would say some red flags. If the pricing is too good to be true, it's probably a red flag there. And also, you know, are there any products that they're using that aren't FDA approved? I think for me, if, if someone's okay injecting something that's not FDA approved, I would, that would have some concerns about, you know, maybe, you know, what else are they doing that's maybe not, not something they should be doing. And you know, I think overall, really taking your time asking the questions that you need to as far as their background, their credentials, of course, before and after photos, if you haven't already looked at them on the website or on their Instagram and you know, asking what type of pre care post care, how often should I be doing this treatment? Maybe some financial obligations, you know, how often do I need to do this? And you know, everyone has, you know, their different expectations. And so I think it's, I will say to my patients, say like this is an open space. There are no silly questions here. I really want you to feel like you can ask, ask anything that you have on your mind. And so, you know, whatever that may be, feel free to ask.

[Carlene Higgins]

Once you're at home and you are letting your Botox settle in, do its thing. What's your recommended after care? Once you get a neuromodulator, maybe something people might not think of. There are there do's, there don'ts.

[Gabby Garrettano]

Yeah. So I get this a lot where patients will call in and like I have a headache. Can I take Tylenol before And like Tylenol is okay, is not a blood thinner. But any products that may thin the blood like aspirin or Aleve, typically try to avoid 48 hours before if possible as well as alcohol. Alcohol is a blood thinner. So I think it's also people think, oh, this is what I should do after. But it's also important the night before that you're not drinking a bunch of alcohol because it does thin the blood. And then you come in and you may get some bruising. Now that doesn't affect your overall results from the treatment, but who wants to walk around with a bunch of bruises on their forehead? And I get really upset when I bruise patients. So we try to do everything we can to avoid bruising. Also. Also avoid exercise the day of. I'm fine with the next day. And I would say ask your, your specific provider because everyone has different preferences here. But no laying down for about four hours afterwards. And then any of those at home devices I try to avoid for about a week after too. And I think the one thing, I know we just talked a lot about Botox, but I think the one thing I was going to mention too, more on pricing is really thinking about this from a holistic approach and so not just doing Botox and that's all you're going to do. Like, I would much rather use less Botox and maybe frequent less frequently and be able to sprinkle in some laser treatments throughout the year, use some sculpt drug and some collagen stimulation. So I think the real beauty is, and the real magic is being able to do a multimodality approach throughout the year and not just only focus on focusing on Botox injections.

[Carlene Higgins]

Right.

[Jill Dunn]

Yeah. I think it's a little tougher for people to wrap their head around because it's a bigger number. But I understand what you're saying. It's like really thinking in terms of continuity, like what is my budget for the year? And then maybe that's like an easier way to look at it because then you can really space things out and say, okay, well today we're going to do this and some treatments aren't good for the summer and it's almost better.

[Gabby Garrettano]

So I've had patients come in around tax season and be like, oh, my financial advisor told me that my budget this year is X amount of dollars adject. And I'm like, wow, that is amazing. And it just shows how just women are so amazing and plan these things throughout the year, which I, I think is great.

[Jill Dunn]

Yeah, I need to, to speak to my financial advisor. Yeah, let's, let's get some wiggle room here.

[Carlene Higgins]

Yeah. And I, you mentioned at home devices. Like I have a radio frequency device for at home. And I was surprised to read on the instructions that I couldn't use it if I had had Botox. And it wasn't just like 48 hours, it was like within months. It was like if you've Had Botox in the last like three months. Don't use that, this. So I was kind of surprised by that.

[Gabby Garrettano]

My role is typically seven days after injections. Please avoid any of these devices. And it's kind of like if, if your Botox didn't kick in or didn't work and then you use this device, would we be worried? Is it the device, is it something else? And so we just know, okay, you haven't put anything on the skin, there's nothing that can affect it. But I think what I will say is Botox are injecting into the muscle and, and these devices are treating the skin. So it's very unlikely that it would actually impede the results. But Botox, let's not forget it is a protein. And if we are heating it up, if we're putting it in a different environment afterwards, it could affect these proteins. And so I'm always like, let's be more conservative and just, you know, try to avoid these things immediately after your treatment.

[Jill Dunn]

What about exercise?

[Gabby Garrettano]

Yeah, so exercise next day is fine for me. Knock on wood. I've never ever dropped a brow in my practice. So, you know, I say I've been injecting people until 9 o'clock at night and they go home and go to bed after and like, thankfully we've never had any issues eject. But I think, you know, let's be a little bit more conservative and go back to exercise the next day. And we've not had any issues that.

[Jill Dunn]

Right, okay.

[Carlene Higgins]

And how do you know when your Botox has worn off? Or what's your recommendation for the frequency? Like, do you, you let it completely crash and burn or what? What's your recommendation?

[Gabby Garrettano]

Yeah, so once we start seeing those wrinkles reappear at rest, the lines reappear at rest. This typically when you know you're due for your next treatment. I think the one thing is to remember it's not like a pill where, you know, just wears off the next day and you need to go in, your body is metabolizing the injections and the moment you get injected, it kind of peaks at that two week and then, and it's slowly wearing off over the next several weeks. And everyone is different, right? Everyone has different metabolism. And I tell patients, even at six to eight weeks, you start seeing some of that activity coming back that's completely normal. But I think it's, it's funny, it's almost because comes like an emergency where patients are like, oh my gosh, it's worn off, I need to come in Immediately. So it's funny how, you know, you do kind of like, it kind of hits you hard when you notice it. The wrinkles may start to reappear around your eyes. And I find that patients like, I just look tired recently. Or like, oh, well, you haven't had your Botox in four months. It's probably why.

[Jill Dunn]

Why do you think that people are kind of souring on fillers in particular? And do you think that's more lip service or, like, what are you actually seeing in practice?

[Gabby Garrettano]

And I will say that most of our patients coming in to ject, even today, they are getting a combination of wrinkle reducer treatments and their Botox or. Sorry, and their filler, whether that's sculpture or hyaluronic acid. Injectable filler within the same appointment.

[Carlene Higgins]

I'm very curious about lips specifically. What are people getting down to their lips right now with injectables?

[Gabby Garrettano]

So I just had wrestling about eight weeks ago. And so I would say for lips, most commonly is injectable hyaluronic acid. It could be Juvederm, Restylane. There's RHA products out there. There. This is a new filler that actually just launched. And so what I would say for lips is it's kind of like if you have a balloon and you're overfilling the balloon, it. It could pop and overfill. Right? So same thing with the lips. We only have a certain amount of volume we can fit into that tissue. And so using a filler that's designed, and that's why we now have fillers that are for lips like Wrestling Kiss. It was designed for the lip. And using a filler that. These fillers are varied by G Prime. And so think about, like, the thickness of the gel. So something that we put in the cheeks or the jawline or the chin, maybe a higher G Prime, more thicker product. But that's great, right? Because we want that for. For those areas. Whereas we'd use a lower G Prime product for an area like around the mouth, the perioral lines, lips. And I think what is really amazing is we can use these fillers or hyaluronic acid to help hydrate the lips. And so if your lips are very dry, we're seeing those, like, vertical lines, they look kind of like raisins. This is a really option to just even. Just hydrate them. It's not even, hey, I want to plump my lips. I was like, I want them to look, you know, more smooth and rejuvenated. We can use dermal Fillers to improve the lip.

[Carlene Higgins]

Yeah.

[Jill Dunn]

Is. Is there a way to avoid. Like, sometimes you see where you people will start to lose, like, their lip line, I find from injectables, where it starts to get really blurred. Is there. Is that about technique or the type of filler or what it can be.

[Gabby Garrettano]

A little bit of both. And even just so many injections over so many years. But we have a magic eraser for this. We have Hyalinex. We can dissolve it usually immediately after. Then the Hyalinex injection, it's already improved. And so we tell patients, okay, we're going to do a little dissolver around the lip. I see a tiny bit of migration. Could have been from a thicker product that was used years ago, kind of migrated, because there's just, you know, throughout the years, and that could happen. But it's okay. We can dissolve that area, and then you can come back and get your filler to lips. I think the only thing is people don't like having to deflate the lips. So I was like, sorry, we have to get rid of a little bit of filler and then come back in a few weeks and we can correct this for you.

[Jill Dunn]

This might sound like a crazy question. Does it feel different when you kiss somebody and have lip filler? I've never had it. It.

[Gabby Garrettano]

Does that feel any different for you or does it be a podcast?

[Jill Dunn]

Well, we're. This is the start of the journey, I guess. But, yeah, like, does it feel different as a sensation?

[Gabby Garrettano]

I would say, I guess immediately after you're swollen. So I don't know if you ever woken up with, like, swollen lips, maybe after, like, alcohol or, like, eating salty foods? Like, it kind of feels like that a little bit. Okay, so maybe it feels a little bit more swollen, a little bit plumper.

[Jill Dunn]

Yeah.

[Gabby Garrettano]

Immediately after. But I would say about a week after your injections, it kind of feels like completely back to normal. I don't know. I. It's something that I've actually, like, noticed. So I guess it's not that big of a change.

[Jill Dunn]

Okay, thank you for indulging me. I needed to know.

[Carlene Higgins]

And we know that you also do facial sculpting with fillers. And we had a question from our Facebook chat room about Sculptra specifically. First of all, what is it and what. What should someone know about the benefits of it or the drawbacks of it? Like, can you explain?

[Gabby Garrettano]

So I love, love, love sculpture. So I've had about three sculpture treatments in the last couple of years. Sculpture is plla, so it's different from HA filler. It is a biosimilar filler. It comes as a powder, kind of like Botox, and we mix it with sterile water. And so I tell patients that it's almost like a fertilizer that we're injecting into the skin. And it's really amazing the benefits that you see to the skin. We see overall improvement of the texture, fine lines and wrinkles, almost like a little bit of a glow afterwards, which is amazing. And so if we are also using it to replace volume loss, then we would use more of the product. Right. We use more number of vials. So sometimes I tell patients, if you're 40 years old old, we typically, it's about one vial per decade of life. And so you may need four vials. But we will spread it out. We don't have to do it all today. We could do two today. Two next time we do one today so you can test it out and see how it is. But if you're only doing one vial, you're more going to see that benefits to the skin than actual, like, volume improvement into the face.

[Carlene Higgins]

Okay.

[Jill Dunn]

Okay.

[Carlene Higgins]

And you would do that. How long does it last? I'm sorry if I missed you saying that.

[Gabby Garrettano]

Yeah. So it lasts about a year. And then we typically kind of go. We call it like a, A, A Sculptra birthday vial. Each year do about one to two vials a year, and then you kind of like go to maintenance. And so I, I personally just really love this product. And I find that it's also really great for men because you can't really put a finger on it. I actually saw a male patient on the Upper east side of New York last week when I was in New York. And he was like, I just got back from New York. He was in Aspen the last few months. He was like, everyone was. Has been asking me what I've done to my face. I look like, you look amazing. And they can't, like, put a finger on it. And he's done probably like four vials of sculpture. And he's like, I don't want a facelift. I'm not doing a facelift. But he just, like, really loves the results.

[Carlene Higgins]

Okay, wow. And what about other bio stimulation fillers? I'm really interested in this whole category because I read recently, I think it was like Harper's Bazaar, but maybe in the UK about polynucleotides being a big breakthrough. Like, how are you using those at Jack and what are they?

[Gabby Garrettano]

So we are kind of in the investigation phase. At ject where we're testing some of these products out internally, we've been doing that all of Q1. I've actually had two microneedling treatments with polynucleotides topically applied after that. And so far I'm loving the results. So right now those products are not FDA approved for injection. So I do not recommend at the time because until they're FDA approved to be injecting them into the face. But I do love the topical application of them. And so what we're seeing is improved wound healing and improvements of the benefits of the skin like texture, overall glow, improvement of fine lines and wrinkles. And so I think this whole new kind of rejuvenation medicine and skin treatments is. So we're still early on. I think they've been using these products in China, Asia, Europe for many years. And so we do know who they've been safe over there. From my knowledge, there have not been major adverse events with the polynucleotides. So I think that's very exciting. And I don't know if you know the story behind it, but I did meet with someone from Madurian, the company that makes the polynucleotides. And so it's comes from salmon sperm. This is like the salmon sperm, I guess. Yeah. And so there are other types of, of products that are coming out like pdgf, we have Exosomes, biosimilar fillers, there's calcium hydroxy point that's out. And Allergan will soon be launching a combination of hyaluronic acid and biosimilar product in the next few years as well.

[Carlene Higgins]

This definitely to me feels like the future because if I'm going to inject my face with a filler, I want it to be doing that, that legwork to for lack of a better expression, but like really stimulating the collagen and elastin, not just simply filling with like a hyaluronic acid which yes, helps appearances but I want that over time regenerative aspect like that seems really exciting to me.

[Gabby Garrettano]

I completely agree with you. I think the one thing is if a patient has any autoimmune disorders or you know, any medical history, sometimes there can be concerns about these products and something that's it's going to last about. You had asked me the longevity of sculptures about a year plus and so we just want to make sure from the safety component too that it's, it's very safe for the patient as well.

[Jill Dunn]

Jill and I used to joke when we were baby beauty editors, once we tried Botox. We were like, just use Dove soap and spend your money on Botox. Like, do you feel like all topical skincare is just trash now? Like, are you, are you just like, what are these even for other than maybe moisturizing or, or do you think they actually make a difference?

[Gabby Garrettano]

So my explanation on this is, I mean we go to the dentist, we get a cleaning and then we brush our teeth every day. Right. Hopefully. So. So it's kind of the same concept. You know, you're spending your money on your injectables. We really should be using at home medical inside medical grade skincare products. So that would have your glycolic acid, salicylic acid, hyaluronic acid for hydration. Of course, sunscreen. I would say sunscreen by far is the most important thing that you should be using at home. And of course some protection with the hat as well. I. I do think investing in medical grade skincare at home is extremely important. Important.

[Jill Dunn]

But what about like anti aging quote unquote skin care? Do you believe in it?

[Gabby Garrettano]

Well, I mean, I will say so. I know you did a podcast with pleated skin. Yes, I listened to a little bit of scrape by the way. And so that is a product that we are now launching at Jacked and I do have looking at the clinical trials of some of these products and just the science and the history behind them. I find the exosomes in the skincare is really impressive and something that I would recommend spending money on. Yeah, versus like going to Sephora and just buying random things online. Maybe not so much. But a lot of these products now do have amazing science and data behind them that they can show before and after pictures of like this is what the skin looks like before six weeks. And after six weeks of using I love skin Better their Alpharet product. And I think using retinoids in the skin is amazing. So. So I mean even for more price conscious patients, I think having spending on those medical grade skincare products, it's extremely important.

[Jill Dunn]

Well, I believe in skincare too.

[Carlene Higgins]

I was just testing you. Of course, what's a common treatment? Maybe you see popping off on TikTok or something that's in the medical aesthetics community. But you personally would never do it it at home.

[Gabby Garrettano]

Micro needling.

[Carlene Higgins]

Okay.

[Gabby Garrettano]

I really think this should only be done in a sterile environment. I like cringe when I see people doing this at home. It is like so scary. You're putting thousands of needles in your face like at home where like your cat or your dog's running around. I just highly would not recommend that. And then I've had patients that have come in and had electrolysis years ago. I think, you know, I've just seen some scarring for that and I definitely would not do electrolysis either.

[Jill Dunn]

And our final question for you. What do you think is the next big thing in medical aesthetics? What's got you excited?

[Gabby Garrettano]

Yeah, I think we already touched on it a little bit, but regenerative medicine is just super hot right now. Really exciting. I think everything from polynucleotides, pdgf, prfm, exosomes, prp. You know, it's. It's kind of overwhelming, right? I think also with just overall, when I say wound healing with these products, I think no one has downtime anymore. And you know, the ability to do a CO2 laser or something that you're going to have some downtime and you can put some polynucleotides on there and have like one day of downtime. Like, that is amazing. So really exciting.

[Carlene Higgins]

Awesome.

[Jill Dunn]

Very cool.

[Carlene Higgins]

Well, congrats on all your success so far. It's all very exciting and thank you again so much.

[Gabby Garrettano]

Gabby, thank you so much for having me.

[Jill Dunn]

Nice chatting with you today. Thank you. Thanks for listening. You can find details on every product mentioned in today's episode, along with our exclusive promo codes on our blog@breaking beautypodcast.com.

[Carlene Higgins]

While you're there, be sure to sign up for our newsletter. Every episode will be delivered directly to your inbox, so you won't miss a.

[Jill Dunn]

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[Carlene Higgins]

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[Jill Dunn]

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[Carlene Higgins]

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[Jill Dunn]

See you next Wednesday Day.

[Gabby Garrettano]

Please note that this episode may contain.

[Carlene Higgins]

Paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products.

[Jill Dunn]

Or services referred to in this episode.