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Audrey Evans
Audrey's Children, starring Natalie Dormer, tells the untold true story of Dr. Audrey Evans, whose fight for change redefined medicine and continues to impact the lives of millions. After being recruited to an elite Children's Hospital in 1969, Evans refused to accept the futility of current therapies and pioneered life saving treatments. She was also the co founder of Ronald McDonald House Charities, now playing only in theaters.
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Jessica Capshaw
Call it what It Is with Jessica.
Audrey Evans
Capshaw and Camille Ludington, an iHeartRadio podcast.
Jessica Capshaw
Hello, hello, hello, hello Call it crew and welcome to another episode of Call.
Designer Shoe Warehouse Advertiser
It what It Is.
Jessica Capshaw
Okay, this person.
Audrey Evans
We're both very excited about this.
Jessica Capshaw
We're so excited. She was on my original list of guests when we first started the podcast. Because I'm so obsessed with her, I've been stalking her on social media watching every video ever. Her name is Vanessa Lee and she is the owner of the Beauty Concept bar the Things We Do Here in Los Angeles and she is a world renowned medical aesthetic provider. She is incredible and the reason I know about her is because when my glam team were over here, we've talked about this. The glam team know all the things. A couple years ago, I was like, tell me who everyone loves. Who is it that everyone goes to? Who do they love? And they were like, vanessa Lee, the things we do.
Audrey Evans
So I can't wait.
Jessica Capshaw
I can't. And honestly, I haven't been to see her for anything. I just watch her videos. That's not me saying, like, you know, I'm so good because I totally believe in whatever you want to do, do. And I'm going to ask her all the questions about my own fai.
Audrey Evans
Yeah, I was gonna say, can we get a little consultation?
Jessica Capshaw
No, this is. I'm gonna use this as a consultant.
Designer Shoe Warehouse Advertiser
What do I need?
Audrey Evans
This is an active consultation. Tell me what it is that I need. Well, hold on. I want to start with this as, like, a mindset.
Jessica Capshaw
Yes.
Audrey Evans
I actually really do think this is important to say. I don't think anyone needs anything. No, I think that there are. I hear people talk about the things that bother them just about like, I don't know, that started when you were teeny tiny and you had your first idea about what you saw when you looked in the mirror. And we all have. And we all know those friends are like, I don' like this. And you're like, you're crazy. Right. And that's not what you should say, but that's how you feel, right? You're like, I don't even kind of see that. So I think that this relationship that we have with, you know, these kinds of, you know, medical aesthetic providers is like, I think it's really important to go into it saying, like, this is what I see. I know I don't need anything. I am perfect as I am. But. Or. And yeah, here is the thing. I see. And how could we, like, what would you suggest that we do about that? I just want to highlight that I really do. I really do think that we don't need this. But I do think we live in a culture that is. Gets very excited about its possibilities.
Jessica Capshaw
Well, listen, I. I 100 agree with you. And there was a long time when I have was feeling like I'm never gonna do anything because I just, like, I'm gonna be fine. I'm gonna be one of these people that you're like. And I, at 41, see the first signs of, like, aging because I've had a baby face, so I've been very lucky. But now I see it and I'm like, oh, no. Oh, no. I'm not going down without a fight.
Audrey Evans
Doing all the Things.
Jessica Capshaw
But the truth is, though, is that, like, I. I really. I have not. There's no filler in my face. I don't even know if I need it. I'm already around it, but I don't.
Designer Shoe Warehouse Advertiser
Know a lot about it.
Jessica Capshaw
So I'm going into this trying to educate myself too, as well as anyone listening.
Audrey Evans
That has no, me too. Me too. Me too. Okay. I want to hear all the things.
Jessica Capshaw
Yes. Geek out when he's.
Designer Shoe Warehouse Advertiser
Hey, how are you?
Jessica Capshaw
I'm so excited. So before you excited, Vanessa, welcome to call it what it is, but I have to tell you, your intro was this. I had my glam team over a couple years ago, and I said, who does everyone.
Audrey Evans
Those are the people to ask, by the way. Sorry. I think it's important to say this. So the glam team that does your hair and your makeup, because they're not just doing your hair and makeup. They're all around town doing all the people's hair and makeup. So they're with people that you likely know or have seen many different versions of. And everyone's journey with this kind of thing is very specific and unique to them. And so. Okay, go ahead.
Jessica Capshaw
So I said, who is the person? Yeah, I said, there's someone. There's someone in the city that's do. That's doing the best work. Who is it? And they said, you. So I've been stalking you on social media for, like, two years.
Audrey Evans
She has.
Jessica Capshaw
I imagine what I might need. Might not need. I mean, actually, we just talked about this. We don't need anything. What you might suggest.
Audrey Evans
Yeah, yeah. You don't need a thing.
Designer Shoe Warehouse Advertiser
I agree. And also the hairstylists of, I think the Los Angeles entertainment industry, hairstylists and makeup artists are the best walking billboards. They have the biggest mouths possible in the best way possible. So thankful.
Audrey Evans
But we talk about this a lot. We talk about this a lot. It's where you go get all the good gossip. And by the way, you. You give none unless you're ready for it to keep going. Like it's putting it on a train, and you don't know where that train's going. But I. I think that they do. They know all, and they've. And they've seen it from all different angles. You know what I mean?
Jessica Capshaw
Yeah. And I trust them. I was gonna ask her to tell us the story of how she got started.
Designer Shoe Warehouse Advertiser
Okay. The year was 2008. I just graduated nursing school. I was forced into nursing school by my sweet Filipino mother. By the way, I wanted to originally be A writer in first year in college. I was doing communications, and she was. I didn't come to this country so you can be doing. She called it arting so you can be in the art. She's like, no, arting. Arting. I came here medical field, and I was like, okay, okay. There's like, I'm an only child, so there was a lot of pressure and I was like, you know what? I'll just do this to, like, please parents, and then I'll do my writing stuff anyways. I've always loved the arts. I've always painted. I've always been like a more creative side of, you know, that brain. During nursing school, I realized that, like, you know, there are softer. There's a softer side of medicine. There is the plastic surgery side also, that is more artistic. Artistic. And there's a less invasive side of the plastics that I should probably explore. And I remember my last semester of nursing school, my preceptor was like, so what are you going to do after this? What floor are you hoping to work on? And I was like, I plan on being a Botox nurse. And they were like, what the hell? And my colleagues were like, you know, we're going to er, we're going to neurosurgery, we're going to all of these things. And I was like, I'm hoping to work in a smaller wing of a plastic surgery office that will hopefully allow me to do some lasers and Botox injections. And I still worked in the er, still worked in neurosurgery, but part time. I was always doing aesthetics. And after year two and a half, three of doing both, I was like, you know what? I really love bonding with women and following them through. The refreshing, you know, the rejuvenating, the helping people feel confident in their own skin again. Now, I've been in the industry for 16 years, but six years ago, I opened up my own practice, which now we have five locations. It's called the Things We Do. And at year 10, I realized there's a huge miss in our industry. I feel like we really were missing the heart in that side of medicine because I was working with these prominent plastic surgeons and dermatologists. And still, at the end of the day, I felt like I was just being taught to upsell and upsell and to really work on people's imperfections and insecurities. And I was like, this is not what I want to do. This is not. I always was like the black sheep at offices because I would constantly say no to patients I was going to.
Audrey Evans
Ask one of my questions.
Designer Shoe Warehouse Advertiser
Yeah, the doctors. I still say no all the time, and I feel like that's why I became a bit of a enigma in our industry. Like the quiet whispers of, like, you know, oh, it's. It's Vanessa. I really don't care if patients talk about us or not on socials or, like, our celebrity patients, if they mention us or not. Like, I. It doesn't hurt me when somebody says, you know, olive oil or something, whatever. I don't care about that stuff, you know? But, yeah, I think I got to this point because we're just really honest about things, and we're here to just guide you through a process if you're open to it. I'm just going to give you your best and your safest options, and so will the rest of my team. And if something doesn't serve you, then we pivot.
Jessica Capshaw
I've been seeing this, this whole. Your vibe, everything you've been doing for years now, and I just. This is exactly why I love you. And we have a ton of questions for you.
Designer Shoe Warehouse Advertiser
Okay, I'm ready.
Jessica Capshaw
Okay, Jess.
Audrey Evans
Well, I kind of want to start with the starting point, because I'm curious if it really is specific to the person. When people come in, what are they? How old are they coming in at, and what are they talking about first?
Designer Shoe Warehouse Advertiser
Sure. So, Jessica, that's such a great question, and I think the answer is not cookie cutter. As far as, like, where someone starts off, I will say that every single person who comes in, across all of our locations, we are highly, highly trained to make sure that we have a very specific consultation and initial assessment process. I think what we're lacking as far as, like, a society is getting to know ourselves more. And what I need instead of seeing what this great influencer is doing for herself and just everything that she's suggesting, it's like the whole analysis thing is really taking off because we're finally realizing it's whatever this person is doing is not going to serve everyone. Like, we have to figure ourselves out. So what we're really strong with at the things we do is the initial assessment or, like, the facial balancing analysis. So if you guys have heard of facial balancing before, I am the creator of that term within our industry. I created it back in 2016. 17. I've got the trademark. It's like a whole thing. But what that consists of and what our true training is is looking at the different thirds of the face. Which third of the face stands out more? Which third of the face Seems a little left behind and shadowed. How can we balance the thirds of the face?
Audrey Evans
All I want to know is both of those things about my own face. Okay, look.
Jessica Capshaw
Yeah. Can you do it now? How do you, how do you. So how do you do this analysis? Are you just looking at someone's face, doing it and they're looking in a mirror, or is there, is there another way to do it? You're just doing that.
Designer Shoe Warehouse Advertiser
Okay, so we're looking at the patient, we're walking them through what we're seeing in the mirror. And a lot of times patients will just start like pointing things out to us. And we have a very gentle non verbal cue of like, you know, just a little I hear you. And we're going to get to all of those things. But let's take a look. Let's take a look at features that maybe don't stand out as much. So then from there we look at the right side to left side of the face. So. Wow. Yeah. And then we look at your stronger side. And in Eastern medicine, I'm a certified face reader in Chinese traditional medicine. In Eastern medicine, you're right. Right side is your maternal side or the side you associate with your mother, that relationship. And the left side is more so your father's side. Your right side is who you present to the world and it represents your personality to the world. And your left side is who you really are on the inside, out of the public eye.
Audrey Evans
You're really Martin Ludington. Her father's name is Martin Ludington. And yeah, left side is.
Jessica Capshaw
No, my left side is not Martin Lunnington. Watch it, Jess.
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Jessica Capshaw
When you're saying this, are you saying that you can see in people's features or is it almost manifesting in that way too? Is there more like a yes? Yeah.
Designer Shoe Warehouse Advertiser
I will ask patients once I get to know them a little bit more. Tell me about your your relationship with your mom, tell me about your dad and like you know, say I'll pick up different things in the face that tell me about their like life path and their journey and their habits and their all of that stuff. And most of the time when I end up picking up on some of these clues it tends to follow through with my findings. So that's been a really fascinating part of yeah, facial balancing, you know, assessment. So besides right to left side I also look at your habits. So if somebody has a much stronger masseter on one side versus the other and that side of the face is more toned. I usually can pick up that's the side that they prefer to chew on. So maybe there were some dental issues on the past on the last side and on on the other side. And there's like less toning of that cheek and that jawline. I also look at the side that has the lower brow. So the side that has the lower brow is typically the side in motion that picks up a lot higher. So then I have to think about Botox wise, I have to address that side of the forehead differently because her strength is on that side and it tends to. That's the side that someone sleeps on as well. So I can look at the necklines and see how you sleep, what your positioning is. You can tell so much by looking at someone's face and just picking up on these like tiny nuances. And then we'll look at the harmony of the features. So if you have smaller birdie features that are closer towards the center of the face, but you have a larger face shape and more surface area we look towards how can we kind of use the larger surface areas or utilize the fullness in the face to match more of the harmony of the centralized features? Or if you have these really large, more stronger characteristics of the face but you don't have the surface area to carry it and your features seem overwhelming. How can I add towards the lower third of the face so that things seem more balanced. So we also look at face shapes. There's five classic face shapes and each face shape ages in very hallmark ways. So rounds you and me, Camila. Rounds.
Jessica Capshaw
I Jess, you're. You consider yourself a roundy.
Audrey Evans
I'm around. I'm around. I'm actually a rounded square kind of. You're a heart where Jessica am I.
Designer Shoe Warehouse Advertiser
Your heart Square and Camila are round. You're just like me. So hearts over time tend to deal with more under eye issues. And then the chin can be a little bit pointy. Heart squares, because you can have combination shapes. Art squares tend to not deal with jowls as much. It's more so mid face tissue collecting towards the center of the face. Rounds always deal with heavy jowls is what the complaints of. And they always more angles in the face and faces that angled like to be a little bit more rounded out so the grass is always greener if you're over.
Jessica Capshaw
For anyone listening, that's like an oval shaped face. What do they deal with with aging.
Designer Shoe Warehouse Advertiser
Often oval faces 10 they tend to complain of less dimension in the face. They feel like they're very one dimensional. The desire is to have more cheekbones. So usually when we are dealing with cheekbones, we try to talk people off a ledge and we're like, less cheek, less cheek, less cheek. That's like really a way of doing.
Audrey Evans
Because people want to put filler in it.
Designer Shoe Warehouse Advertiser
Yes. And people with high cheekbones think, oh, the aging is coming from the cheekbones. I want to replace that. When really it's not volume that they need, it's structure and strengthening the scaffolding of the skin. And it's a stimulator that they need instead. It's not filler.
Audrey Evans
It's awesome, by the way. I think it's true. I don't think I'm saying something new that there's a real math to beauty. There's a real like, I mean we can use words like balance or symmetry or whatever, but there's angles, but there's a real. Beauty is balanced. Right?
Designer Shoe Warehouse Advertiser
Yes. And there's ratios that plastic surgeons often talk about and there's certain measurements to those ratios that they'll literally will put in like a simulation of your photos. Like they'll show you if we put this like specific algorithm of measurements on you, how you can become. It's kind of gross to say, but I've heard a plastic surgeon say it. How you can become a 10 out of 10 instead of an 8 out of 10. And that is dangerous to me, I think.
Audrey Evans
Yeah, well, so what's the 10 that we're, we're moving toward?
Jessica Capshaw
Yeah, it's his 10. What's my, my. Yeah, my 10 might be different to your 10.
Audrey Evans
But also I find that, I mean, again, I mean we're all, we're. I think we're probably going to be all over the place. The one thing I have noticed is that the more things that people are rumored to have had done, the more I actually don't know. I cannot decipher their age. Like, it's all, it's like, it's like there are 22 year olds that to me I would be like, oh, she's probably like in her early 30s because. But I would say like the 40 year old that's getting the same treatments is like, I'd say, oh yeah, she's in her early 30s, but it's like everybody's moving towards a median age or something like that because the look is all the same.
Designer Shoe Warehouse Advertiser
Yeah, yeah, I understand. Here's how I feel about that right now. I think we're an age of everything's confusing. You're right. You know, there's these people on Tick Tock who are like, you guys guess my age. And then like they're being ripped up in the comments because they're way older than they actually are. And it's because, you know, there's all these hacks of like how to look perfect by the age of like 19, like looks maxing, you know, I don't know if you guys have heard about this where it's like, no, what is that? Oh my God, it's, it's a new thing. So you send in your photo to this random TikTok account, by the way, that's so strange to me to begin with. And then you say, look, look, Max me. And you end up getting like a whole AI makeover picture back and they post it and then it tells you how to get there. Get Botox here, get a chemical peel, cut your ha here, like this, this is what fits you best. And then the before and afters really are kind of irrefutably, I mean, impressive. And some of these people are doing this because people are trying to figure out like, what is it? Like, can you just tell me? And I think we need to figure out for ourselves what really is that? 10 right. Personally, when I'm explaining these things to patients of what would benefit them, I'm going off of what your God given features are. So I want you to look like a different person or somebody else. I want you to look like when you were that Facebook photo you've been holding onto for the past 10 years, that you haven't changed that favorite Facebook of yours before the divorce or before grad school or before whatever stressful thing you went through, I want you to feel like you're getting yourself back, like your best version of yourself. And I know that people say that all the time, but I tell people if we can get you to a point where your favorite features are coming back to you, because that's the beginning of our consultation, is what's your favorite feature? It's the first question I ask.
Jessica Capshaw
Oh, I like that.
Designer Shoe Warehouse Advertiser
Yeah. So we ask, what's your favorite feature? And immediately patients either start crying, there's like three things that happen. People either start crying because they don't think about themselves in those terms and they're not ready to talk about those things when they come in to see us. They're ready to talk about everything they want to change. The other reply that we get is, well, I kind of, and this is mainly for men, I like everything. I just want a refresher, which is.
Jessica Capshaw
Good job man, listen, I'm jealous.
Designer Shoe Warehouse Advertiser
Always happy to hear that.
Audrey Evans
I like everything.
Designer Shoe Warehouse Advertiser
You can learn a thing or two right from that reply. And the other thing is. Well, my favorite feature used to be this. But over the past, like, five years, I feel like I've really lost the twinkle in my eye. I've lost my eye. Lost. You know, my. The thing about what I really love about my smile has now changed because there's some distracting shadows or like, lines or this fullness of shifting. I don't know what it is, but my favorite feature used to be my smile. So able to replace that for you or give it back to you and just kind of return to that favorite thing. That is the driving factor. And then we talk about, like, deep assessment and going into like, the symmetry, shape, and all of that stuff. But the most important thing, and I think what brings us to that 10, is when we feel the most comfortable in our own skin again.
Jessica Capshaw
Yes.
Audrey Evans
So for people who might not be able to see, you basically rewind like five minutes and listen to everything she just said so that you can synthesize for yourself what those questions might be for whoever you get to go see and. And make sure that that person checks those boxes and. And passes muster. Because there's a lot of times I think that people don't. I hear so many times. By the way, what does it say about me that people call me all the time for this kind of advice? No, I'm just realizing this as I'm saying it. Anyways, I think that, you know, you. How do you find, you know, someone that you're going to trust? And I think that important to make sure that you actually have a good feeling and that you've asked all the questions.
Jessica Capshaw
Yes.
Audrey Evans
Yeah. Because otherwise you get the.
Designer Shoe Warehouse Advertiser
Yeah.
Audrey Evans
Craziness.
Jessica Capshaw
Vanessa, I'm just gonna share things that I've noticed about myself as I'm aging that maybe other people can relate to. And then what I've heard is not the right thing to do or horror. Horror stories out about and just want to know sort of how you would treat certain things. So I've noticed as I've aged, I don't have. Have puffy under. I have the opposite. I have like a hollowing. And then I've heard that, like, okay, so filler is something that's good for that. And then I've heard horror stories about like, no, do not do filler under your eye. It can be placed wrong. You should place it this way. And if you don't. Or a different way. So how would You. How is that? I feel like a lot of people are not sleeping. It's 20, 25. How would you treat that hollowness?
Designer Shoe Warehouse Advertiser
So, first of all, that is a very hallmark sign of a circle, because the fat shifting in the upper cheek to the lower cheek and in the lower face is something that's common over time. Even if it's not shifting, the fat pocket itself is starting to shrink. So we don't have this fullness that's kind of everywhere in the top of the cheese.
Jessica Capshaw
So this is a roundy situation. This is a round facer.
Designer Shoe Warehouse Advertiser
It's a few different shapes.
Jessica Capshaw
Okay.
Designer Shoe Warehouse Advertiser
It is typical for a round as well. So I would say it's very common also. It's just very common for like.
Jessica Capshaw
Yeah, yeah.
Designer Shoe Warehouse Advertiser
Real life in aging. It's like, if you're starting to notice those changes, there are a few options that we have for patients. I don't like to. Here's what I'll say about filler. First, we have been leading the industry as far as, like, bio stimulators and combining treatments and leaning more towards, like, you know, bioregenerative and those type of treatments in general since 2018, since we've opened. I also really love filler. Okay. So in my own face, I have around, let's say, four cc's of filler right now, which. Which I only do once every four years, three to four years. So the amount of that is less than a teaspoon. Okay. So four ccs and four syringes. Sounds like I have like eight huge bazooka guns filled with, like, filler. It sounds really scary. But when somebody comes in for any kind of, like, facial balancing that consists of bio stimulatory treatments, threads, and also filler, I'll tell them we might use, you know, closer to like a half a teaspoon, which a half a teaspoon is like 2.2.5 syringes, 2 1/2 ccs. If you think about what that is, a half a teaspoon, that's really small. And if we're starting you in your 40s or 50s, you've lost a lot of volume over time. The thing is, filler needs to be utilized correctly with the right technique in the right plane of the face. That's a huge problem, is using the wrong fillers in the wrong planes of the face. And it needs to be placed in. In the appropriate areas. So for examp, somebody wants, like, a soft lip. Hydration is what we call it. Where we're not making your lips bigger. We're not changing the shape of your lips, but maybe over time you've noticed that there's more fine lines and wrinkles in the lips coming more inwards. I can hydrate the lips with a specific type of filler. Types of fillers and characteristics of fillers are called rheology. It's the science of like how we study the characteristics. If the rheology is softer and the consistency is like, like a soft honey where it just like hydrates and spills into the fine lines, but is not enough to really pack a punch of like, you know, steady volume where you're really giving someone a robust pout. If something's really soft and spills into fine lines, you're not going to put that in the under eyes because in the under eyes you need something really stable and you need it deep in the tissues on top of the bone so that you don't see any filler from the surface, you only see support and your skin is brought to light a bit more. But there's nothing in the skin, there's nothing in the fat tissue, there's nothing in the muscle. It's all the way back on top of the bone. So that's how I would utilize filler in the under eye area.
Jessica Capshaw
So wait, Vanessa, I have a question. So when people are complaining about filler under eye and being able to see it, is that the wrong filler or the wrong placement?
Designer Shoe Warehouse Advertiser
So here's the thing with. Okay, we're going to get into the politics of esthetics right now.
Jessica Capshaw
Sure.
Designer Shoe Warehouse Advertiser
In the US we're very limited with the type of fillers that we have. I just came back from Korea last week. I was getting all of these things done. I was taking courses with plastic surgery, plastic surgeon self there and dermatologists out there. And then every day after class I would like go run and do something exciting that you can only get done in Korea. In Korea, in Europe, in most of Asia, they have like over 50, 60, 100 different types of injectables. They have so many different types of rheologies where for each thing that someone is looking for, there is a specific tool for that specific area of the face. And, and here's the thing, it's so much more accessible. It's, it's a lot less expensive in Europe and in Asia. In the US we have a couple of companies that monopolize the price, which is why it's so incredibly expensive. So superficially, I don't love tear trough filler. I don't love fillers in that area. And it's really only for someone who has true volume depletion. Filler is to replace volume loss. If you don't have volume loss and the shadow that you're seeing is due to the skin scaffolding really starting to thin out or like the skin creepiness, then you should use a bio stimulator instead.
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Jessica Capshaw
So what is a bio stimulator? That's. Is that an injectable? That's collagen. Like what is that? Because I have no idea.
Designer Shoe Warehouse Advertiser
So biostimulators can be a few different things. Sculptra is a type of bio stimulator. Prfm, which is the next generation of prp, which is growth factor that comes from your blood, is a type of blood stimulator. There's also exosomes, there's also hyperdiluting.
Audrey Evans
I've been hearing about those a lot.
Jessica Capshaw
What is that? I don't even know what that is.
Designer Shoe Warehouse Advertiser
Though, about all of those things. But specifically, specifically in the under eye area, prfm, which stands for platelet rich fibrin matrix. It's your own jelly matrix that's made from your growth factors of your blood from your prp. It helps thicken the scaffolding of your skin. And essentially what's happening is your skin has less shadowing because now it has a more collagenated matrix. That neocollenesis that has happened has spurred your collagen and elastin fibers to become healthier and there's more of it. So it's not that you had a deep shadow from volume depletion from fat loss. If it's because the skin structure and the fat structure has changed a little bit and maybe it's just not as healthy, we can replenish it instead of giving more volume. Then that's the key factor for you. So that's what I would say. There's, there's quite a few approaches to the under eye, but those are my favorite. For the under eye.
Audrey Evans
What's the treatment that you see makes the biggest difference? What do you like? What, what do you. In all of the things. I mean, truly, because like I said, I mean, I think Botox, I have sort of a love hate relationship with. I, I'll partake here and there, but I always have like, it's, it's almost never like hit and miss. Yeah, yeah, it can be a little hit or miss and filler. I Told you I'm frightened. Yeah, but what are the things that you feel like, really? Like when someone comes in and you have, you, you, you guide them in this direction, they're like so happy.
Designer Shoe Warehouse Advertiser
Yes. I'll refer to when patients cry in my chair. So when I owe them the after, like when I'm done with the treatment, or if seeing them at their follow up and everything is completely healed and I show them their photos, their before and after photos. So we take pictures of every single patient every single time you come in. And if your office doesn't do that, it's questionable because I want to be able to show you and I want to be able to study your success over time. And I also want to be able to see. Are we getting too close to maybe not being as natural? Are we getting too far away? What our original goals are? I think if we start, start. If we continue this path in three treatments, she may look augmented. And that's not what we're looking for. We're looking for rejuvenation, we're not looking for augmentation. So if you don't have that, you know, visual documenting, how can you really tell? So what people cry about most is the iframe. When I can make someone's eyes look, the iframe is more. Is brighter, is more open, is less tired, doesn't look as angry. And I think that makes so much sense. Right when we connect with each other and when we're talking to each other, we're looking at each other's eyes. And when you look into the mirror and you don't recognize yourself sometimes, or if you feel like you look angry and tired, when you don't feel that way on the inside, it's a drag. So I love treating the eyes now with the eyes, I'm looking at temple support, I'm looking at brow framing. I'm looking at the under eye zone. I'm looking at the upper cheek and how it connects to the under eye zone. And that's a combination usually of more. So bio stimulators, like I'll use. Use sculpture towards the hairline to just kind of give like a baby lift to this zone.
Jessica Capshaw
Sculpture is not a filler.
Designer Shoe Warehouse Advertiser
Acid filler. Correct. It is a bio.
Jessica Capshaw
I always thought that that was a filler.
Designer Shoe Warehouse Advertiser
Yes. There's a lot of. We classified it as a filler years and years ago because we didn't have this bio stimulator category quite yet.
Jessica Capshaw
Okay, got it.
Audrey Evans
I'm writing this down, by the way. I just got out my.
Jessica Capshaw
I Know, I can tell you're right.
Audrey Evans
Yeah.
Jessica Capshaw
Jessica, her head's down. She's not texting, she's taking notes right now. She's a note taker.
Designer Shoe Warehouse Advertiser
Yeah.
Audrey Evans
Yeah.
Jessica Capshaw
Picking a lot of notes.
Designer Shoe Warehouse Advertiser
And I'd love to see you in person and just give you a little.
Audrey Evans
I'm coming for you.
Jessica Capshaw
We're coming. Are you kidding? We're literally. We're doing this from outside your door in a van. So. Yeah, yeah, yeah, yeah, yeah.
Audrey Evans
We're on our way.
Greenlight Advertiser
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Designer Shoe Warehouse Advertiser
I can't wait. I'll meet you in the back alley.
Audrey Evans
Okay.
Designer Shoe Warehouse Advertiser
I'm just kidding.
Jessica Capshaw
Okay, so the sculpture is not filler. It's your own body adding collagen. Is that right, or am I wrong?
Designer Shoe Warehouse Advertiser
So Sculptra is made out of. Of plla, so polylactic acid. And when it. It comes to us in, like, a powder form. It looks like a powder. Just like how Botox comes to our office. It's in powder form, and then we have to reconstitute it with bacteriostatic saline, sterile water, and then from there, we have to use it within a certain amount of time. Now, it's an injectable liquid. So plla, poly lactic acid, is a type of crushed polymer, dissolvable, absorbable polymer that when we place it within tissues, it's almost like a fertilizer for your own collagen. So once it's placed within own tissues and we kind of, like, you know, kind of globally within a zone, it's not very precise. Like, if I have a little, you know, indentation here, I place a tiny bit of filler there, and then now I get a little area of, you know, improvement. This is more. So, like, if I need a larger zone of the face that needs some collagen boosting and thickening, then I'm going to be using Sculptra in this zone. So we lose a lot of skin integrity here in the lateral or the outer portions of the face. Face closer towards the hairline, and then the fullness of the face and the skin itself shifts down and forward. So if we can preserve this outer portion of the face as much as possible without changing anything in the centralized features, that's really successful. And it helps the eye frame. You notice over time, the outer hood of the lid starts getting heavier, and you can't put on your eyeliner the same. You notice that more of it is covered by the hood of the lid. If we place a little bit of sculpture, you can do this with Botox. Also, but it's not as impressive. If we place a little bit of sculpture in the temples and back towards the hairline, you get this beautiful, very soft improvement by only stimulating collagen in the areas of your face. Like the soft tissues of the face. Yes. It's great.
Audrey Evans
And does it happen right away or do you have to.
Jessica Capshaw
Yeah. Like I'm wondering, is this a bunch of sessions? Would you notice after one session.
Designer Shoe Warehouse Advertiser
That's a great question. I love that you guys are so excited about this. I'm so excited.
Jessica Capshaw
So excited about all of it.
Designer Shoe Warehouse Advertiser
I just actually had it done eight weeks ago. I was seeing all my patients success and I was like, hold on, it's mama's turn. What's going on here?
Audrey Evans
Yeah.
Designer Shoe Warehouse Advertiser
So when we're working with Sculptra, you do see results instantly, but those aren't the results that are. That are going to stay. Because when we're placing it in, the volume that you're seeing is actual sterile water. That's the carrier for the to get into your tissues. And then that sterile water leaves you. So the swelling goes away. Most of it, 80% of that swelling goes away within the first few hours. And then what ends up happening is it's a little sad because you miss that result a little bit. And what happens is in the next couple of weeks, in the next several weeks, your own collagen starts to take the place. But it doesn't look swollen. It just looks like a glow and like a youthful fullness of that replacement of youth in the skin. And there is a tiny bit of lifting with. So that's weapon for that area. Some patients like to do a couple of treatments and we guide you through that. Most patients do within their. Within the ages of 30s and 40s, early 50s, will do maybe two or three sessions with our clientele. That's perfect for us.
Jessica Capshaw
So let me ask, because I have that heaviness here, right. As I've aged, I've always had these lines, like, even as. Like a kid. Right. And for me, it isn't wrinkles. So I don't know if they're considered really the marionette lines. I'm sure they are, but I feel like gets that fat like pad moving. Do you fill this with filler or do you again, do something up here? Or is this where threads then come in?
Designer Shoe Warehouse Advertiser
Great question. So for you, particularly when I'm looking at this area, the marionette lines are down here towards the corner.
Jessica Capshaw
Oh, I thought that they were these.
Designer Shoe Warehouse Advertiser
This is called the nasolabial fold or.
Jessica Capshaw
Oh, that's right.
Designer Shoe Warehouse Advertiser
And then these are the marionette lines. A lot of people also call them marionettes, who are, you know, not in the industry, but we know what you guys are talking about when you bring it up. This nasal labial fold right here is usually, if you've always had it, even since you were younger, it's completely normal, but over time, and is really also, I should say this, dependent on the topography of your bone structure. So naturally, my topography of my fat pads and my bone structure is flatter. So that's not typically a concern for my face shape and my bone structure. However, if you think of, like, some hearts and diamonds, there's a nice curvature and separation to where the oral area meets the cheek area, and that's actually. Actually really beautiful. I think that we've been tricked to think that, like, there's something wrong with nasolabial folds. Diamonds, since a very young age, will always have deep nasolabial folds. And they always talk about, I hate my laugh lines. I hate my laugh lines. And it's like, you know what? You're in great company. Diamonds are Jessica Alba and Beyonce. And nasal labial folds are always a thing for that face shape, and there's nothing wrong with it. However, if you notice that they're progressively.
Jessica Capshaw
Getting worse, it just feels like a heaviness. Right? Like, it just feels like a. Like, less youthful, like, more heavy.
Designer Shoe Warehouse Advertiser
Yeah. If you're noticing that heaviness or that just that change in that fullness in that zone and that shadow becoming more prominent, I would start off with. Not filler. I would start off with using sculpture down to the puriform aperture. So all the way down to bone. Within this zone here, I would. There's a deep fat pocket. Not the superficial fat pocket that's underneath the skin. There's a deep fat pocket that. If we can create some light, gentle rejuvenation of that tissue, what ends up happening is you have the support underneath without having any kind of, like, flattening or fullness of the face or a muting of your emotions when you're trying to show that. I also simultaneously so that you have bidirectional support, create some sculpture and possibly some thread lift, depending on the severity of how much laxity you have in your tissues. I would be able to get my hands on you and. And. And figure that out more so in person. But if you do this test where you take two fingers right on the outside of your cheekbone, where it connects to your hairline, and just do slight.
Jessica Capshaw
Shift, I mean, you can see it when I do it like this, try.
Designer Shoe Warehouse Advertiser
To do even less. Like 2 or 3 millimeters. Yeah. So I would say if you had no difference in that zone, I wouldn't even think to go up there and place any support there because a lot of patients have that as well. And then I just go straight into the pir. However, if you do have a little bit of improvement when you do that tiny, tiny shape shift and pull and it's time to start paying attention to the hairline.
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No purchase necessary. Legends international void where prohibited by law. 18/terms and conditions apply. You are the thread queen.
Designer Shoe Warehouse Advertiser
Thank you.
Jessica Capshaw
And I watch the videos and I'm equally enthralled and terrified all at the same time. And I have a question of why it goes wrong for so many people. Why so many people have thread horror stories. I also want to know, I keep reading that, like, if you ever want some sort of facelift at some point, if you've ever gotten threads, it like, ruins it for some reason or, like, makes it more difficult or something.
Designer Shoe Warehouse Advertiser
Yes, this is one of my favorite things to talk about.
Audrey Evans
Also, we might want to say what.
Jessica Capshaw
I, I. Oh yeah, let's talk about what they are because, you know, maybe you're not like me on Vanessa's Instagram everybody, every, every hour.
Designer Shoe Warehouse Advertiser
So I'll start off by saying also there's a lot of these, like, really viral posts from providers being like, here's a celebrity who has done all of this stuff and looks crazy. And here is a celebrity who really uses, like, you know, great skin care, luxury skin care, has always taken care of herself with facials and maybe has had a little botox here and there's there. And when I watch these, I'm like, those are my patients who have done everything, by the way. Never, they never are gonna post me. Like, I'm kind of like this secret in their back pocket. And like, honestly, favorite faces who look the most natural, I've touched multiple times. I'm talking like Oscar award winning, like, true artists who really depend on, like, I need to look like myself. You know what I mean?
Audrey Evans
Yeah, yeah.
Designer Shoe Warehouse Advertiser
Threads are dissolvable sutures that we use in soft tissue injury and surgery. We've been using them for decades and decades and decades, but now they move to the esthetic space. And Korea has really taken off with making sure that we have the most natural and the most, I would say, respectful of our anatomy type of results. So the, the threads are not in your system for very long. If you think of what sculpture does, it's in your tissues, it stimulates your tissues to build collagen in its space, and then it's out of there. But then your collagen is what holds the results for so long. Threads do the same thing. So they're like a type of bio stimulator as well. It's made out of a substance called pdo, which is polydiacinone. And that is essentially another word for a different type of polymer, just like plla. So when I talked about. When I talk about PLLA or poly lactic acid sculpture to patients who have seen me for a long time, they're like, what is that? And I'm like, it's essentially like crushing up thread powder. And it just is a new way to stimulate, you know, collagen in your tissues. So with threads, the threads are placed in. They're anchored within your tissues. They have little cogs or holders of your tissue molded into them. And they're placed in the subcutaneous tissue, which is the fat tissue underneath the skin. And it anchors you upwards and it's. You're held in that manner of how the vectors of the threads are placed in. Because. Because of the little holders or barbs they're anchored into. Typically, I go close to the temple or just above the top of the ear, within your hairline, so that you don't see any entry point whatsoever. If you do have bruising or swelling, it's within the hairline. And then the threads are only there for a little while, sometimes a couple of weeks, sometimes a little bit longer than that. Then as soon as that's. That period is over, the absorption of those threads have occurred already. They're dissolved. But your own collagen has taken the place of where those threads are placed.
Jessica Capshaw
Oh, but if you're lifting something and then that thing sort of disappears, is your face then falling again?
Designer Shoe Warehouse Advertiser
No, because when placed correctly, if you think about how we use these dissolvable sutures within surgery, if there's some kind of, like, tumor in a lung and we have to take that out, we excise it, and then we close that lung tissue up. The tissue is then sewed with these sutures. It doesn't stay there. That suture starts to absorb and your collagen takes over, over. Your tissue mends itself and stays. And then that's your result. The thread is no longer there. The suture is no longer there.
Jessica Capshaw
So are there two types of threads, though? Because I feel like some people complain that they can see a thread.
Audrey Evans
You can.
Designer Shoe Warehouse Advertiser
Oh, so this is not a type of thread issue. It's a user issue. So the provider has placed it way too superficially. It should not be in the skin. That's when you see it is what in. When it's in the skin, it's supposed to be in the subcutaneous tissue. Just. Just subdermal.
Audrey Evans
I'm sure that you work On a million people who. I just go, oh, my God. She's naturally gorgeous, but in your own experience, like, what. Was it huge? That difference when you did it yourself?
Designer Shoe Warehouse Advertiser
It's not huge.
Audrey Evans
But did you feel so much better?
Designer Shoe Warehouse Advertiser
Totally. Because it's subtly dramatic. It's like. It's like when it's. It's like when you get an amazing facial with microcurrent and you have, like, your browser.
Audrey Evans
Yeah.
Designer Shoe Warehouse Advertiser
And you're out in the world, and you're like, I've arrived.
Audrey Evans
Okay, wait, so then. Sorry, we have to get to this, because it's very important.
Designer Shoe Warehouse Advertiser
Yeah.
Audrey Evans
Everyone is talking about Lindsay Lohan, and you cannot. I mean, you. You. Because you. I actually spent about five minutes staring at this picture the other day. I was like. I like to think that I can kind of tell what it looks like. You cannot tell what it is that Lindsay Lohan has done done. And yet, when you look at a picture of her. And I say this respectfully, and I really do, because I think that everybody's. You know, like I said, I don't think anyone needs anything, but. But when people do do things, I'm like, okay, all right. This is. This is in a picture. It's pretty simple. She looks completely herself.
Jessica Capshaw
Yeah. The fact that we can't tell what she's done is the goal. Right. You're like, wow, you look like you've drank and you've drunk five tons of water.
Audrey Evans
Yeah.
Jessica Capshaw
And you've been just, you know, under a red light and, like, what is it? That's the goal. That's definitely the goal.
Audrey Evans
Yeah.
Jessica Capshaw
And do you feel. So you feel like with threads, you can sort of get that feeling or get that look?
Designer Shoe Warehouse Advertiser
Okay, so this is what I'm gonna say about Lindsay's transformation. First of all, I don't know for sure what she has had done. I also think that she looks so wonderful and so like herself. Yeah. Before Ibiza and all of that stuff. You know what I mean?
Audrey Evans
Yeah, yeah, yeah.
Designer Shoe Warehouse Advertiser
Like, definitely pre that stage, getting the type of look that she has right now is very attainable with threads, with bio stimulators and maybe a touch of filler. Definitely some laser support for her skin type. It. It's not addressing one plane of the tissues. It's addressing the skin, the fat underneath the skin, the muscle, the ligaments, the. It's. It's the deep fat. And then all of that together makes sense and looks the most natural. Can you also achieve those results with surgery, which is what think. And again, she's not my patient, but this is my clinical opinion is she probably had a surgical procedure and also had biostimulants and some laser treatments. I don't think that she had threads. I think that knowing from where she came from just a few years back, that was like, a lot of inflammation, a lot of heaviness, a lot of loss of elasticity and sugar and alcohol and some, you know, things that she probably had some fun with, really adds to that. So when a patient comes in and they're looking for a subtle lift and some slight rejuvenation, and I asked them, how motivated are you? Okay. So you know that when we do that little lift.
Jessica Capshaw
Yeah.
Designer Shoe Warehouse Advertiser
Pull back two inches, and they're like, this is what I'm going for. I go, great. Here's my plastic surgeon that I love, who is. She's my favorite person in the entire world. Go see her. You'll love her so much. As far as what I can give you is a few millimeters, sometimes a centimeter or two.
Audrey Evans
Yeah.
Designer Shoe Warehouse Advertiser
What you're looking for is, like, two inches. And I'm so sorry, but I won't be able to do that for you. But here's who will, and that's what I think the difference is.
Jessica Capshaw
Well, I just want to know about the facelift part of it, because I've heard that the facelifts can be affected. Like, don't get threads. Because in the future, facelift it. Ru. You're. You've, like, screwed your facelift right now.
Audrey Evans
So you want to make sure.
Jessica Capshaw
Why not?
Audrey Evans
Got. Okay, I'm picking up what you're putting down.
Designer Shoe Warehouse Advertiser
Yeah. So with the results that I ended up witnessing from the original trainings that I had from the western docs, I was like. Like, this is probably creating scar tissue because there's just so much forcing your way with these canulas, threads through the tissues, that there's no way you're not creating scar tissue. And so I think that there are a lot of people who probably still have adopted those techniques, and they're probably causing a lot of trouble for people who want to get facelifts in the future. I will say this. The Korean technique, you use a light tumescent within the tissues. So tumescent lidocaine is. You're creating a very small space, a very light layer of some lidocaine, and numbing within the tissues. The tracks that you're going into with the threads are pre numbed internally. And so what ends up happening is you're not forcing your way through. You have this, like, light very Soft space to go into. And then when you press down on the tissues, you're locked in and you're lifted. So that's the difference. I ended up doing some threads. I did some Kybella to dissolve some of my jowls. I ended up doing some thread lifting for my lower face because I wanted to minimize jowl and I wanted a smoother, more defined kind of V line face. And I was like, you know what? Those things were cute. Like, I'm. It's cute. I like the difference, but I'm ready for something, like really impactful. I'm ready for. I have some deep, motivated feelings about this. So then I saw my surgeon and during the consultation, Dr. Sunder told me, is there anything, any treatments that you've had done in this area? And I told her, I've done threads, I've done Kybella. How do you feel about that with moving forward with surgery afterwards? And she was like, walk me through your technique with threads. And I walked her through it and she was like, you'll be fine. And I was like, great. It really is because of how gentle.
Jessica Capshaw
That makes sense. Yes.
Designer Shoe Warehouse Advertiser
But she was like, by the way, after the surgery, she was like, the Kybella that you've done before, it looked like a bomb exploded inside your face. The fat tissue was so distorted. And that's what Kybella does. It explodes the. It opens up the cell membrane of the fat so that the fat can be released into your inter fluid and then you pee and sweat out the fat over the next, like several weeks and then it's permanent fat damage. But she was like, it was just so damaged that, you know, that she had to do some lipo and it's a little bit tougher. So that was more of a problem than the threads ever. Wow.
Jessica Capshaw
Interesting. Yeah.
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Thanks to TikTok ads, I was able to open up a business with my childhood friend, get a warehouse, and even hire employees. My name is Julian and I am one of the founders of the Snacks Lab. We are an exotic snack company. We had over $100,000 in sales from our TikTok ads in the first month. So our orders went from five a day to over 250 orders a day. You definitely have to use TikTok ads and you gotta start now.
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Jessica Capshaw
Okay, Rapid fire. Come on Jess.
Audrey Evans
For our listeners that you know, I mean for all sorts of reasons, like obviously your first step might be something you can do at home, right? So I just want to have a rapid fire skincare situation.
Designer Shoe Warehouse Advertiser
Great, great.
Audrey Evans
What are some of your personal beauty must have haves for daily skincare ritual? I mean you don't have to get product names but like what are, what are we looking for? Because you can get lost in Sephora.
Designer Shoe Warehouse Advertiser
Jessica, when you asked a while ago, like what was the Most impactful. I actually had two answers. So one is the eyes. Two is a good skincare routine. It really is. Most impressive, impactful long term. So I love Alpha Arbutin. I love ago, which is Alpha oligosaccharide. It's a type of prebiotic on the skin that actually, actually I have right here. It's called the acid buff. It's a once a week peel. And this is from the things we do. It's actually something working on formulating the past five years and it's finally out. It just launched so that before that I was using Dr. Dennis Gross peels. As someone who has rosacea. I do have rosacea. Thanks, dad. It just was too strong for me. So it was great for body. Like I used it on like elbows, my underarms. I used it on like certain areas, areas like, you know, like my knees, but it wasn't the back of my arms for kp, but it wasn't great for my face. It's, it's awesome for people who don't react strongly to things, but I deal with redness, with puffiness, with breakouts, all of that stuff. So this is a peel that's very effective. After one use, you see a major difference. Like the next morning you'll see a difference, but it's because the oligosaccharide, it binds water to your skin. So it's a helps take it. It basically dissolves the glue that's holding all your dead skin together, but it also binds water to your tissues at the same time. So you wake up smoother and you look more hydrated.
Jessica Capshaw
Could I like burn my, my face? Like, I worry this is me because I'm a warrior. I have anxiety, right, that I'm going to put it on my face is going to just like fry off. Could I, Because I have sensitive skin. Right. So can I. This one that you just said, from the things we do, is there some way to it up? Basically, yes.
Designer Shoe Warehouse Advertiser
If on the box it says to use two to three times a week. One of our, one of our patient coordinators or actually one of our managers, she was like, I just love it so much. I use it every night. And I was like, alex, you got to stop. It's great right now. But your skin can only take so much because there are actives in it. So I would say if you use it for like three weeks straight, every single night. And don't listen to the instructions on the box.
Audrey Evans
Yes, follow the instructions.
Jessica Capshaw
Yeah.
Audrey Evans
What's your best take on pore size? Minimizing pore size.
Jessica Capshaw
Oh, I want to know.
Designer Shoe Warehouse Advertiser
People who say you can't minimize pore size are ignorant, you guys.
Audrey Evans
So how do you do it?
Designer Shoe Warehouse Advertiser
You have to reduce your oil content. So pore size is dependent on two things. Genetic factors. So if you're naturally very, very oily, you're always going to have larger pores. Dry people have zero pores.
Audrey Evans
Right.
Designer Shoe Warehouse Advertiser
Seemingly the pores are there, but they're like. Because they're not holding oil. So these people look seamlessly. I mean, they don't have breakouts. They deal with dryness. And they age so much faster in comparison to someone who has oily skin. So you have to reduce oil. And here's my trick for that. It's not so much a product. I wish it was, but it's skin tox. If you use Botox intradermally instead of using it in the muscle, you don't lose any movement of this face, but you're reducing the oil production, just like how we injected in the underarms for hyperhidrosis. You can stamp it with a micro needling stamp. Like this one right here. Yeah. You come in office and we stamp the Botox mixed with glutathione for some skin brightening. We. We stamp it all over the face, and you have a reduction of pore size because the Botox is acting on the sebum glands. And then your skin looks like this glass skin. That seems really unique.
Audrey Evans
Okay, wait, but hold on. But. Because maybe I have a different kind. So I find I do not have very oily skin. I would say that. Camilla, if you're noticing a cheek thing, I'm noticing, like a texture thing. And I find that at the pore size, like, I see. But it's not. It doesn't feel like it's because I'm oily. Like, I don't know. I don't even know that I could reduce the oil in it. And I'm not dry, by the way. I've always been sort of combo. But I do find that whether it's on my nose and on either side, like right there and then a bit on my chin.
Jessica Capshaw
Your T zone. That sounds like. Exactly.
Audrey Evans
I was gonna say. Well, but I'm not oily.
Jessica Capshaw
Maybe you're combo.
Designer Shoe Warehouse Advertiser
I definitely think you're combo. So when as you're talking about this, I'm like, she knows. Which is T zone.
Audrey Evans
Yeah, yeah, yeah.
Designer Shoe Warehouse Advertiser
Just underneath her eyes, which is part of the T zone where people are prone to getting milia because you have larger sebaceous Glands in areas. So you don't have to be oily, but you can have an area of the face that produces juices just a little bit more, because if you were oily all over, you would just have larger pores all over. And we know people with that skin type as well. They're preserved forever, by the way. Like, my dad had super oily skin, and he looked amazing even at age 80. But if it's only in one portion of the face, it's probably because you produce more oils in that area. So I would do the peel in that T zone. So combination. I like to call this skin zoning, where you're, like, hydrating certain areas, but, you know, like, taking away certain areas where you wouldn't do that for the cheeks because the there's not the same oil activity there, but you need to do that for the T zone. I also really, really love. And it's so funny, because AAD just happened. It's a huge dermatology conference, and a bunch of different, like, skincare companies have been, like, going up to different dermatologists and being like, what's a skin myth? Or, like, what skin trend do you hate? Or what should be throughout the window? And a lot of people were like, toners, toners, toners. And in Korea, everything is about toners and essences.
Audrey Evans
Wow.
Designer Shoe Warehouse Advertiser
Hydrators. I personally love toners, essences, and skin hydrators, because I think so many people think that they don't do very much because they don't feel like a serum. You don't notice, like, difference right away. But here's the thing. Oil content and hydration content, water content in skin is very different, right? Like, you can be very oily and super dehydrated. Your water content is low. If most people deal with dehydrated skin, especially here in Los Angeles in Southern California, we are so dry. The makeup. So I had my makeup done in Korea, and I had a little, like, Korean style head shots, which I just thought was so cute to do and try out. The makeup artist put three layers of moisturizer on my skin. It took longer to prep my skin than the actual makeup application. And then with the foundation, she mixed moisturizer into. First she did a toning, and then she did the three layers of moisturizer, and then she put moisturizer into the foundation and then patted that on. And I was like, I've never looked better with makeup because everything is about skin she color, and my skin was just radiating through everything. But they're big on skin flooding. So for instance, I have here fla skin. It's a rice enzyme toner. It hydrates the skin. So my mom, when I was younger, she would say, wash the rice, prepare the rice, and then. And put it so that we can put it on our skin later. Put it in like a little.
Audrey Evans
You know, I've heard this.
Jessica Capshaw
I've heard of, heard this.
Audrey Evans
It's kind of like the SK2. Isn't that kind of based on.
Designer Shoe Warehouse Advertiser
Yes, yes. So rice enzyme is really great for reducing redness, for skin toning. When I say toning that in Korea, it toning is tightening so the skin, but it's still hydrating your skin at the same time. The reason why it feels tighter is because it's plump, because it's retaining more water.
Audrey Evans
It's true. You have to take care of your skin. It's like, it's actually the best. It's the best kind of. It's the best. Non makeup up makeup. Okay, question. Is it true that beef tallow is good for your face?
Designer Shoe Warehouse Advertiser
You know, I only like to speak on things that I've tested myself and I've done research and there's clinical studies and all of that. I haven't. I don't know enough about the beef tallow. But I also will not knock it because there are some very simple things that we have just written off in esthetics and skincare and beauty. And all of a sudden, people give it a chance, chance. And then it's like, whoa, that was like, basic. Like, for instance, Vaseline and Aquaphor, you know, where it was like, for years and years, no one would be putting it on their face. And then all of a sudden, one tik tok takes off and everyone's slugging. And I do it too. I use Aquafor once a week and do like a nice slug all over. All over my entire face. As someone who has combination skin now, I've graduated to also using baby rash cream. Diaper cream.
Audrey Evans
Yeah.
Designer Shoe Warehouse Advertiser
Pure zinc to just, like, reduce the redness. It's healing. It's protective for the skin. So I will say this. Maybe beef tallow might be great. I haven't tested it yet, but I think we write it off just because it's so simple.
Jessica Capshaw
Okay.
Audrey Evans
By the way, you're still using the aqua for so but if I'm trying to make my pores smaller, am I using aqua for.
Jessica Capshaw
You just do it on your cheeks, right? You just avoid the T zone.
Designer Shoe Warehouse Advertiser
I don't put it in my T zone, but I put it all over my cheek. All over My forehead. Which forehead is part of T zone, but that's not an issue for me. It's my nose, and it's definitely under my eyes. I've made videos of it. Of. I don't place it there.
Audrey Evans
Uhhuh. Okay. What about the salmon DNA?
Jessica Capshaw
Oh, yeah.
Audrey Evans
I've even heard salmon sperm DNA.
Designer Shoe Warehouse Advertiser
It is salmon sperm DNA. When you hear salmon DNA, it's always the sperm. I.
Audrey Evans
Well, I just find that. Ick.
Jessica Capshaw
Yeah, I don't know about that.
Audrey Evans
I don't want sperm on my face.
Designer Shoe Warehouse Advertiser
Well, I'll do anything for. You know, I will say that I don't love the storytelling.
Audrey Evans
So did we get my face?
Designer Shoe Warehouse Advertiser
But when I went to Korea, I had a full. I had two very deep skin analysis like we talked about.
Audrey Evans
Thought you were gonna say you had a full sperm face, but go ahead.
Designer Shoe Warehouse Advertiser
Yeah, I have full sperm on my face.
Audrey Evans
I went full sperm in Korea talking.
Designer Shoe Warehouse Advertiser
To the doctor, and, well, both offices told me. I was like, it's interesting. You didn't offer me to get, you know, this. The salmon DNA. And they were like, we don't really. Koreans don't really do that. You Westerners are obsessed with it because you just have discovered it, but you don't really. And I was like, why? And. And that also is a bio stimulator. You should know that. So it bio. Stimulates your own. Okay. And I was like, why? Why don't you. And they were like, well, it's so incredibly painful. And you have to do it once a month for the first three months. You know, like injections all over the face. Once a month for the first three months, and then every other month for the next three months after that to see something really show up in your skin. And then from there, you're good for around year, and you do the whole thing over again. And for how painful it is and how expensive it is, we don't really like it as Koreans. There's so many other things are more impactful.
Jessica Capshaw
I want to know a trend that you think is happening right now in the beauty industry that you do hate.
Designer Shoe Warehouse Advertiser
That you're like, something that I hate in the world of aesthetics right now. Baby everything. So this whole idea of like, baby Botox. I've spoken on this a couple of times on my page. Baby Botox, baby, baby sculpture, baby, all of that stuff that's just for you to make you feel better about things like the. The coming back from Korea. I mean, first of all, you're gonna die. Masseter Botox is $5 over there. Full masseter Botox, you can get full face, Botox, forehead all the way down to your neck, like 100 something units for like 60 to $80. It's like ridiculous. Because they have so many different types of neuromuscular, we're limited to just a few here in the US So they just like dominate pricing. Right? So it's way more expensive here. But like, the talk of, like, patients being like, oh, my last provider told me that I just do baby Botox. And I was like, okay, great, let's go ahead and have your chart sent over. I want to check out how many units you had. And they're standard dosing Botox, you know what I mean? But she, her provider had probably told her, oh, they're just baby units to make her feel better. You know, the psychology of things. What I think as providers, we need to stop trying to like, trick our patients into things and just educate and be like, hey, listen, when you go to neurologists, if you have migraines and you get a Botox treatment clinically for that, you're getting around 250 to 450 units. If I'm using 40 units for you to just smooth some fine lines and to lift the brows a little bit, it seems very small in comparison to that and it's very safe. Also, instead of being like, yeah, you should do it, it's baby, it's special for you. But, you know, your other friend does like full dosing and we're creating entire, you know, I, I feel like it's like smoke and mirrors really. So I would just get what's right for you.
Audrey Evans
Get what you need to get.
Designer Shoe Warehouse Advertiser
If your provider is talking to you in these very, like, elusive, you know, strange terms. Thank you. If your provider is talking to you in these, like, elusive, strange terms and is not getting to like the, you know, the meat and bones of what you should be educated on, I think you should run. I think you should, you know, it's like a weekend facelift or like a. Nothing is quick and easy when it comes to this stuff. I think all of this stuff is medicine. It's the softer side of medicine, but it's still medicine. So there is a little bit of downtime. You should be educated. You should have, you know, you should know the risks, you should know all of those things and your provider should be upfront with you. So really, that's on the provider end of things. Like, let's be real patients. Let's, let's be more transparent. Transparent.
Jessica Capshaw
Okay, I want to ask one last question. I saw a video where a guy said he was an injector and he said you have to pick between either doing your whole forehead but knowing that your brows will lower or picking just like this part of your forehead and then keeping your brow. So what if you wanted to, like, treat your fine lines here, but you don't want your brow to drop and then you don't want it raised too much. Is there a way to inject the forehead with. Without like touch the brows moving?
Designer Shoe Warehouse Advertiser
There is. And the difference is you're not going by these standard old school ways and techniques of injecting Botox. It's a much more sophisticated and much more customized treatment. Which is why internally at the things we do, we have trainings every six to eight weeks. We have an internal conference every six weeks where we talk about the latest clinical studies, the latest, like, trends, what to stay away from, what's dangerous, what's safe, all of that stuff. And then we have a hands on training every eight weeks because we need to refresh, we need to keep up with our skills. Who's a trainer from outside of the company we want to learn from. If you're not constantly pushing yourself, why do you get stuck in these little weird bubbles? If you can't do this, you have to do this. A lot of things outside of that. As someone who has naturally hooded lids, I'm. I have been dropped before with my brows because I wanted smoothness in my forehead. Now I have smoothness in my forehead, as you guys can see. And I can also lift my brows. Brows and move like a, A normal human. But I'm not sacrificing the line, so you absolutely don't have to choose.
Jessica Capshaw
Okay. I love this. Okay, we do have to let you go. I know. I could talk to you for hours. This could be our longest podcast ever.
NYX Advertiser
You're.
Audrey Evans
No, we're gonna sideline this. We're gonna find you. Are you kidding? We are. We are talking later. Yes. We have to come in and I want to know all the things, because I do. I mean, for those that really are obsessed like me, when I listen back to this, I'm going to rewind and listen and write down exactly. I missed a couple of those key words, but I know you're looking for those words and those ingredients when you're going into wherever you get things is really important. And it's so, it's so incredible to have someone as knowledgeable as you to sort of shepherd us through this process. So I. Yes, I'm coming in person and I'm going to see everything and I'm going to hear everything. Yes.
Designer Shoe Warehouse Advertiser
Thank you, Jessica and Camila, for having me. I'm here for you guys. Any questions, I'm all ears.
Jessica Capshaw
Okay. You're amazing. Thank you so much, Vanessa. Thank you, thank you.
Designer Shoe Warehouse Advertiser
Okay, bye now. Bye.
Audrey Evans
Bye.
Jessica Capshaw
Dude, I'm obsessed with her.
Audrey Evans
I know you. I mean, it's because you got so many questions. There's so many questions.
Jessica Capshaw
I mean, I'm not even. I could. This could have been a two hour podcast for me. She's so knowledgeable.
Audrey Evans
Yeah. I'm just ultimately not as. I'm not so brave. It's really. I like, I think. I just think you have to find someone that you trust, you know, and if you're looking at their work on Instagram or whatever, I guess if you went. If you went to someone who you saw their work beforehand, I think that's the trick. Right? And then you can just be a little braver. But I get scared.
Jessica Capshaw
Yeah, of course. But listen, I'm not going to. In a couple of years, I'm not going to be so scared when I look in the mirror and I. And I'm like, you know what? It's time. I'll get real brave.
Audrey Evans
But that's how I feel. I, like you don't already know this. I'll do all the things that you tell me to do with skin care. And I'm not. Yeah, I'm not so afraid of lasers. Like, I'm not afraid of, like, afraid of even lasers. I love the photo facials and the sun damage going away and all that stuff. But I mean. Oh, I don't know. Surgery. Talk about words.
Jessica Capshaw
Well, this isn't surgery. This is.
Audrey Evans
No, but I'm saying that's why maybe you do this. So you don't have surgery.
Jessica Capshaw
Yeah, yeah, yeah.
Designer Shoe Warehouse Advertiser
I.
Jessica Capshaw
And I believe her that like the. There's some. The people in our industry that were like, God, they just. They just look so great.
Audrey Evans
I know they're going to hurt.
Jessica Capshaw
You know, they're getting all the things. And here I am sat on the sidelines, you know, being like, I want to just be like that and age gracefully. And I'm, you know, melting.
Audrey Evans
Face is sliding down, sliding down my face. I know. I don't know. I have a lovehate relationship with that is too, too, you know, that I have a lovehate relationship with that because I feel like there's part of me that actually doesn't want to know what people have done. I want to believe that there's this, you know, illusion and then part of me wants to know everything.
Jessica Capshaw
No, I want to know all the things we have to have her back on at some point. If you guys loved her with like I do and you have more questions, please send them because we can do this can be our a multiple episode situation where we can keep coming back and asking Vanessa all the things. So let's call it the end of the episode. Hey there. Have you heard about legends.com it's an awesome free to play social casino and sportsbook.
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Podcast Summary: Call It What It Is – Episode: Call It with Vanessa Lee (Released April 7, 2025)
Introduction
In this engaging episode of "Call It What It Is," hosted by Jessica Capshaw and Audrey Evans from iHeartPodcasts, the focus is on Vanessa Lee, a distinguished medical aesthetic provider and the owner of "The Things We Do" in Los Angeles. Jessica introduces Vanessa as a key influencer in the aesthetic industry, highlighting her expertise and unique approach to facial rejuvenation and balancing.
Vanessa Lee’s Journey and Philosophy
Vanessa shares her inspiring journey from nursing to medical aesthetics, driven by her passion for the arts and a desire to help others feel confident in their own skin. She discusses the inception of her practice, emphasizing her commitment to prioritizing heart and honesty over the industry's typical focus on upselling.
Notable Quote:
Jessica Capshaw enthuses, “I've been stalking you on social media for, like, two years.” ([03:09])
Facial Balancing Analysis
The conversation delves into Vanessa’s trademarked facial balancing analysis. She explains that this method involves assessing the different thirds of the face to identify which areas need balance through treatments like bio stimulators, threads, and fillers. Vanessa emphasizes the importance of personalized consultations to understand each individual's unique facial structure and needs.
Notable Quote:
Vanessa explains, “We have a very specific consultation and initial assessment process... looking at the different thirds of the face.” ([10:44])
Bio Stimulators vs. Fillers
Vanessa distinguishes between bio stimulators and traditional fillers, outlining their respective roles in facial rejuvenation. Bio stimulators, such as Sculptra, work by stimulating the body’s collagen production, offering a more natural and lasting improvement compared to fillers, which provide immediate volume.
Notable Quote:
She clarifies, “Bio stimulators can be a few different things... they stimulate collagen in your tissues.” ([32:43])
Thread Lifts and Their Impact
The hosts explore thread lifts, another technique Vanessa employs. She describes how threads act as bio stimulators similar to sutures, promoting collagen growth and offering a subtle lift without the permanence or invasiveness of surgical facelifts. Vanessa shares her personal experience with thread lifts, highlighting their effectiveness and natural results.
Notable Quote:
Vanessa states, “Threads are dissolvable sutures that we use in soft tissue injury and surgery... it's a new way to stimulate collagen in your tissues.” ([47:32])
Addressing Myths and Trends in Aesthetics
Jessica and Vanessa discuss prevalent myths and trends in the aesthetic industry, such as "baby Botox," and emphasize the importance of personalized treatment plans over generic trends. Vanessa advocates for transparency and education, encouraging listeners to seek knowledgeable providers who prioritize their unique needs.
Notable Quote:
Vanessa emphasizes, “Patients should just get what’s right for you rather than what's fair for your provider.” ([70:08])
Rapid-Fire Skincare Questions
In a rapid-fire segment, Vanessa shares her personal skincare must-haves, highlighting the importance of hydration and specific ingredients like Alpha Arbutin and Alpha Oligosaccharide. She also touches on trends like skin toners and the role of essential skincare products in maintaining healthy skin.
Notable Quote:
Vanessa shares, “I love Alpha Arbutin. I love Alpha Oligosaccharide... it binds water to your skin.” ([59:44])
Conclusion
The episode concludes with Jessica and Audrey expressing their admiration for Vanessa’s expertise and commitment to natural, patient-centered aesthetic treatments. They discuss the importance of trusting and educating oneself when considering aesthetic procedures, reinforcing the episode’s theme of support and informed decision-making in personal beauty journeys.
Notable Quote:
Jessica remarks, “You can do this without touching the brows moving... you don't have to choose.” ([73:07])
Overall, this episode provides listeners with valuable insights into the world of medical aesthetics, offering practical advice and demystifying complex treatments through Vanessa Lee’s experienced perspective.