Everything to Know about Jeuveau, Plus More of Your Questions Answered

Summary

Podcast Summary

Gloss Angeles: "Everything to Know about Jeuveau, Plus More of Your Questions Answered"

Hosts: Kirbie Johnson & Sara Tan
Guest: Vanessa Lee, RN (Founder of The Things We Do)
Air Date: November 21, 2025

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Episode Overview

This episode dives deep into Jeuveau, a newer neuromodulator often compared to Botox, with special guest Vanessa Lee, RN. Vanessa, a sought-after aesthetics provider, discusses her clinical experience, what sets Jeuveau apart, and answers listener questions on injectables, skin treatments, and realistic beauty standards. The episode balances education with personal anecdotes and practical advice, making scientific info approachable for beauty enthusiasts and first-timers alike.

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Key Discussion Points & Insights

1. What is Jeuveau? How Is It Different?

[02:09 – 05:01]

• Vanessa recalls first using Jeuveau in 2019, drawn by its Korean origins and innovative company leadership.
  • “I love everything in Korean when it comes to beauty." – Vanessa Lee [02:15]
  • She appreciates when a new, science-backed product enters the market.
• Target demographic: Younger users are attracted to Jeuveau for its accessibility and natural look.
  • “The things we do is really built around natural results and feeling good in your own skin.” – Vanessa Lee [03:10]
• Innovation:
  • Lighter, more natural feel compared to Botox or Dysport.
  • Faster onset (effects felt within 2-3 days) but more gradual, not abrupt ("not a punch in the face").
  • Effects last up to four months, possibly longer than Botox according to a University of Pennsylvania study published in JAMA.
    • “There was a study... and it showed that in comparison to Botox cosmetic, it lasted a little bit longer.” – Vanessa [03:50]

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2. Real Experiences & Aesthetic Expectations

[05:01 – 08:39]

• Sara shares her first Jeuveau experience:
  • Had a unique "unicorn line" instead of 11s between her brows.
  • “I can still move my forehead... it looks really natural. And it started working in like two days!” – Sara Tan [06:01]
• Vanessa on natural vs. ‘frozen’ look:
  • Some clients want total stillness; others want to retain expression.
    • “I want to move. Yeah, I need to move.” – Vanessa Lee [08:19]

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3. Jeuveau Research & Cosmetic vs Medical Toxins

[06:15 – 07:35]

• University of Pennsylvania study compared Botox, Dysport, Jeuveau, and Xeomin:
  • Jeuveau and Dysport onset in ~3 days
  • Jeuveau’s effects peak at 30 days, last longest (still effective at six months)
• Jeuveau was developed as a "beauty first" neurotoxin, not originally medical like other toxins.
  • “It was the first neurotoxin that is specifically made for beauty and cosmetic uses.” – Vanessa Lee [07:24]

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4. Candidacy, Frequency, and Practicalities

[09:44 – 11:47]

• Vanessa explains patient assessment: checking for allergies, prior reactions, and making individualized plans.
• Personal schedules:
  • Vanessa personally does Jeuveau twice a year, but most patients do every four months for continuous effect.
  • “I do recommend to my patients... to keep up with it every four months.” – Vanessa Lee [10:22]
  • She notes lifestyle and career can affect injection timing (e.g., actors before filming, attorneys before trials).

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5. Listener Q&A – Real World Beauty Tactics

"Hollywood 40 vs. Real-World 40"

[14:23 – 18:45]

• Vanessa dispels misconceptions about celebrity aging. Many celebrities are getting small, consistent treatments—not just luck or ‘clean living’.
  • “It’s consistent neuromodulators and consistent bio stimulator work. Not a ton of filler.” – Vanessa [18:04]
• The most natural results come from facial balancing and subtle enhancements.
  • Focus on holistic facial thirds, strengthening weaker areas for harmony.

Microneedling for Acne Scars

[21:03 – 22:46]

• Rolling acne scars respond best to microneedling (3-5 sessions, every 4-6 weeks, with 5-8% improvement per session).
• Ice pick and boxcar scars often require laser, not microneedling.
  • “Microneedling is fantastic when treating rolling acne scarring... but if you have the other two types, it’s really difficult.” – Vanessa Lee [21:23]

Sunspots and Melasma

[23:13 – 25:12]

• Picosure Pro Laser is Vanessa’s top pick for sunspots and melasma; if unavailable, alpha arbutin and niacinamide can help.
• Picosure Pro only targets damaged pigmented cells, sparing natural freckles and beauty marks.

Rosacea Care

[25:14 – 29:18]

• Vanessa, who has rosacea, recommends avoiding vitamin C and actives; focus instead on barrier-repairing ceramides and fatty acids.
• “Physiogel... it’s so accessible. I think it’s maybe like 17 bucks... for a huge bottle.” [27:56]
• Consider snow mushroom–based products (per Kirbie’s anecdote) for calming redness.

High Frequency Facial Wands

[29:30 – 32:32]

• Vanessa is obsessed with high frequency (HF) wands for acne and skin rejuvenation—she even developed her own during the 2020 lockdown.
• Warns against cheap/unknown brands due to potential malfunctions or safety risks (“They were electrocuting us. They were exploding.” – Vanessa [32:15])

Skincare for Bearded Men

[32:44 – 33:34]

• Cleanse and moisturize all the way under the beard, not just the visible skin.
  • “So much irritation is... skin underneath the beard not being cleansed properly and then also not having protection.” – Vanessa Lee [32:54]

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Notable Quotes & Moments

• “If you’re not living and aging, you’re dying. But also, like, want to look a little spruced up from time to time.” – Kirbie Johnson [01:25]
• “There are seasons where I need to have that [expression] show up. My kids need to know Mama means business.” – Vanessa Lee [10:19]
• “We’re the generation where we have unlocked treatments in beauty that generations before us never had access to.” – Vanessa Lee [16:46]
• “Baby gut. Be so serious right now because I’ve been doing treatments for them for a long time. And it’s a lot of treatments, but it’s tasteful little treatments here and there.” – Vanessa Lee [18:04]
• “Microneedling is one of those thread treatments; Sculptra, hyper-dilute Sculptra, hyper-dilute Radiesse—all these things... strengthen the scaffolding of your tissues.” – Vanessa Lee [20:27]

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Timestamps for Key Segments

• [02:09] – Vanessa’s Jeuveau experience, clinical differences
• [05:01] – Sara’s “unicorn line” and first Jeuveau injection
• [06:15] – Peer-reviewed research on Jeuveau vs. competitors
• [09:44] – Assessment and candidacy for treatment
• [10:19] – How often to get Jeuveau
• [14:23] – Listener Q&A: Celebrity procedures, "Hollywood vs. real-world aging"
• [21:03] – Microneedling for acne scars
• [23:13] – Sunspot and melasma solutions
• [25:14] – Rosacea at-home treatments and product recs
• [29:30] – High frequency wands: usage, risks, Vanessa's recommendations
• [32:44] – Bearded skin care tips for men

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Overall Tone

The episode is warm and conversational with heavy dollops of practical skincare advice, clinical insight, and supportive takes on aging and self-image. Both hosts and Vanessa Lee blend compassion, expertise, and humor, ensuring listeners of all levels feel encouraged and informed, not intimidated.

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Guest Info

• Vanessa Lee, RN: Founder of The Things We Do (LA & Hawaii), find her on Instagram @vanessalee.rn and @thethingswedo.

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This episode is a treasure trove of honest advice on injectables, skin procedures, and debunking celebrity beauty myths—perfect for anyone curious about cosmetic treatments, regardless of where they are in their beauty journey.

Transcript

[A]

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[B]

G l a m los angeles. Hi, kirby. Hi, sarah.

[C]

Welcome to los angeles. Okay, back by popular demand, we have Vanessa Lee, RN and the founder of the Things we do and one of our favorite people.

[B]

I love being here with my favorite duo, Our Girl.

[D]

Our Girl. So Vanessa is back because we had some questions about Javo, which is a neuromodulator on the market. You've heard us talk about Botox, you've heard us talk about Disport, and we said we want to learn more about.

[C]

Javo, which is my new obsession.

[D]

We are. Can we say we're Javo hosts? Yeah.

[C]

Jeau host.

[D]

Oh, I haven't. I haven't gotten it yet.

[B]

I haven't gotten it yet, but.

[D]

You haven't gotten it yet.

[C]

I think you will be.

[D]

I will be after this, literally leaving here, and I'm going to go try it for the first time if I'm a candidate.

[B]

Yes.

[D]

But Sarah has tried it, so she's going to talk about her experience. But we get a lot of questions about neuromodulators on this podcast. Like, obviously, embrace aging. Like, if you're not living in aging, you're dying. But also, like, want to look a little spruced up from time to time. Like, we're with our best self. What we want. We want what we want. So Vanessa is going to talk to us all about it. She is an expert in Javo. She uses it at all of her things we do practices. We're very excited to get into the nitty gritty with her, and we want to thank Javo for partnering with us on this episode because we're going to be going into the details, so let's just jump right in. Let's start off with, when did you start using Javo, Vanessa? How do you compare it to other neuromodulators? And who is it best for, in your opinion?

[B]

So I first started using Javo back in 2019 when it first came to the market here in the US And I immediately loved it. First of all, I was drawn to it because I saw that it first originated and was made in Korea. And I was like, okay, let's do this. I love everything in Korean. When it comes to beauty, as you guys know, we touched on that last episode that I was with you guys. And I also was drawn to the leadership in the company. The leadership had come from other companies that were well respected in the pharmaceutical cosmetic space that I really was like, listen, where are these guys going? Where is this team going? And then I love innovation in the industry. Anytime something new comes to market, I don't think it's wise to just poo poo on something because it's new. I get really excited about it. I love when something new comes to market and there's so much science behind it. Trying it. I really loved it in my own face. And then I started working with it with my patients, and it's been a success.

[D]

Who is the demo for this versus the other neuromodulators that you may be working with?

[B]

I think that younger demographics in general are drawn to this brand because it's so much more accessible and also it's such a natural look and feel. So I think because the things we do is really built around natural results and feeling good in your own skin, not so much leaning towards augmentative procedures, but more so how can we preserve the natural you for as long as possible?

[D]

What was innovative about Javo that you really enjoyed?

[B]

Yeah. So whenever something new comes to market, when it comes to neuromodulators or neurotoxins, I'm really looking at how is it truly different from everything else on the market? Instead of how closely does it compare to something else? What really makes it different? And so until 2019, I had felt that the neuromodulators on market were more alike than they were different. And also things came to market afterwards, after 2019, where they were presenting itself again as alike, but maybe cheaper, but not as good. And that wasn't enough for me. So I love that this neuromodulator was different in the sense that Javo feels really light and natural in the face. Sometimes with other neuromodulators, the onset feels a lot to me and my patients, like a punch in the face. Like, it's really abrupt. It's really harsh. And some people really love that because when you have your neuromodulator set in, it's like, oh, it's arrived. I like for it to kind of sneak up on me, and I like it to sneak up on me in a timely manner. So I really love that it sets in Quickly, and then it lasts up to four months, which is really wonderful. There was a study that was done, and it showed that in comparison to Botox cosmetic, it lasted a little bit longer, which was really impressive to me. So quick onset. It lasts long and it's powerful, but feels very natural. And I love the science behind everything. How driven it was to make sure that there was comparative, very official peer reviewed studies. That was powerful to me.

[C]

So I had never gotten injected in my. Well, I don't have elevens. I have a unicorn line, which is what Vanessa taught me.

[B]

She has a one. I have a. She doesn't have 11. She has a one, which is just a difference in your musculature and your muscle pull. But it's fascinating. So when I saw your muscle pull during assessment, I was like, oh, I knew Sarah was going to be special. Here we go. So you have a one?

[C]

Yes. So I have a one. And I have never put anything in there before. And it was, you know, starting to bother me a little bit. But I really felt like I. When you started talking about again how natural this was, Javo was, and how, you know, I'd still be able to move my forehead, I was like, okay, let's try it. I am so obsessed. I texted Vanessa and I was like.

[B]

Oh, my God, you did? Yeah.

[C]

I was like, this is like the new me, but I can still move my forehead. Like, I can. Like, it still looks really natural. And it started working in, like, two.

[B]

Days, which is so crazy and impressive.

[C]

Right? Incredible. So I've just been staring at the mirror going like this a lot. Matt's been walking in like, what are you doing? I'm like, I'm obsessed.

[B]

Every reflection, you're like, yeah, exactly.

[C]

Okay, Vanessa, you touched on the study where Jevot was put up against its competitors, and it was so fascinating. Can you tell me a little bit more about that?

[B]

Yes. There was a study that was the first of its kind done out of the University of Pennsylvania, and it was published in jama, and it basically was to see how the four leading neuromodulator companies performed.

[D]

And what is Jamaica?

[B]

The Journal of American Medical Association.

[D]

Okay.

[B]

So during this study, they found three really key things that stood out to me. The first thing was early onset. So with Javo and Dysport, they found that the onset was at three days in comparison to Botox and Xeomin. The next thing they found was its high peak effect. So Javo onset started at three days, but the high peak effect maximum was at 30 days. And the Last thing was its long lasting effect. So at six months, it outperformed Botox cosmetic.

[D]

And then there was something that I read as well, that this is not a neuromodulator that was created out of a medical need, that this is a beauty neuromodul. I don't know, it could just be marketing, but you tell me.

[B]

Yeah, so it's a beauty first toxin. It was the first neurotoxin that is specifically made for beauty and cosmetic uses.

[D]

Of course, it's Korean.

[B]

Made in Korea.

[D]

Made in Korea. There we go.

[B]

Yes.

[D]

Love that. Love that. For us, when you're saying it's natural, it feels natural, does that mean that it doesn't feel like.

[C]

Like.

[B]

So I feel like fully moving my face. So I don't know if you feel this because it's your first time having it done and you might not have had it compared to other things, but I've had everything in my face with Javo. I feel like I'm fully moving my face and then I look in the mirror and I'm like, wait, what? Yeah, it's really lovely. And some people, again, really love that and pick up on it, and some people don't. I work with someone and she was like, I want to feel frozen every moment of my life, and there's no reason for me to be moving my face. Like, I want to be absolutely still as glass. And I'm like, that's great. Love that for you.

[C]

Yes.

[B]

I want to move. Yeah, I need to move.

[D]

Yeah. Yes. Okay, that. That's helpful.

[B]

I.

[D]

For clarity's sake, I have not had it yet, so I'll be getting it after this interview. And y' all know I've had experiences with a variety of neuro. Neuromodulators. That's why I'm asking these questions, because Sarah is actually first to market in this group right now, between the two of us, which is rare.

[B]

Which is very rare.

[D]

So that's why I keep asking questions.

[C]

We should talk about, though. Just you mentioned to me you have ptosis. And then you also don't usually get it, like around your elevens. Right.

[D]

Maybe you can clarify. I always thought the lines right between the eyebrows were the 11s, but these are the 11s. Right.

[B]

The 11s are usually right in between the eyebrows. Right here.

[C]

Okay.

[D]

Yeah. So sometimes when practitioners, injectors see me, they see my scar lines from mitosis surgery I had when I was three, and they think that those are elevens, but they're not. They're scars. So nothing is going to smooth those out. And if you inject those, they will actually cause toast.

[B]

Yes.

[D]

So I usually only get it. I have a line that will sometimes show up here, so I'll be really curious to see, like, where you see if. If I'm even a candidate.

[B]

Yeah. So when we sit down with each other, I'll make sure during the assessment, we go over your medical history that you don't have any allergies to it, any complications in the past that might be a red flag for this. And then we'll do a full assessment of where it's appropriate for you in the glabellar region, and then we'll go ahead and do the treatment.

[D]

Okay. I. I'm eager to find out. What. Is it crazy if you were. And I was.

[B]

She's like, sorry, that actually would be so fantastic and would be so. Kiss ma.

[D]

I'm amazing.

[B]

And Sarah has to get two unicorns. It's amazing.

[C]

We can see. I can't wait to see.

[D]

And then I'll walk out and have just, like, everything everywhere. Okay.

[C]

Okay. So you mentioned, you know, it. It can take, you know, two to three, three to five days to see the results, which we love. And it lasts up to four months. Correct. So how often are you yourself getting it done?

[B]

Okay, so I personally get it done twice a year. I like to have a little bit of movement in between and just kind of like reset my skin. I do recommend to my patients who don't want to have those lines come back to keep up with it every four months, which is the majority of my patients. I just. Personally, for me, in my experience, I like my kids to know mama means business. I'm pissed. Okay, so there. There are seasons where. You know what I mean? There are seasons where they don't see as much of it, and then there are seasons where it's like, okay, yeah. So right now, in this. This period of my life, I need to have that show up.

[D]

So cute when she's mad because she can't do an actual crown. Taking me seriously, like, mom. Yeah.

[B]

Yeah. So I have patients who are, like, very intense litigation attorneys who were like, listen, I need. This is a moment where I don't have any serious cases going on. Load me up. Let's do it.

[D]

That is fascinating.

[B]

It's so fun. I always ask my patients, like, so, so why are we taking a break? Or why are we doing more than usual when any habits aren't changing? I'm like, what's going on with life? Tell me. And then it'll be like, well, for my actresses, it's like, I have a project coming up, so I have about three months. Let's go ahead and reset the skin. Then when it's time for filming, it's alleviated. I'm not as still, but my skin looks fantastic. And then I have my attorneys who are like, I need to look super scary. So we're going to go ahead and take a break or I'm off of this case. Now loaded up, Mama's ready to get started. Still and smooth again, you know. So it really depends for hours about.

[D]

This, like the social implications of having a neuromodulator.

[B]

Love it. So fun.

[D]

So fun.

[B]

Juvo is FDA approved to temporarily improve the look of moderate to severe frown lines in adults. There are risks with treatment. Effects of Jeuveau may spread hours to weeks after injection, causing serious symptoms such as difficulty swallowing, speaking, breathing, eye problems or muscle weakness. Don't receive Jeuveau if you're allergic to botulinum toxin products or have a skin infection. Other serious side effects include allergic reactions, heart or eye problems. Tell your doctor your medical history, muscle or nerve conditions and all medicines. Ask your doctor if Jeuveau is right for you.

[C]

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[D]

We have our slack Q and A. And if you're not slack, please sign up because popping in there, ball of fun over there.

[C]

When, when we put a call out for these questions for you, it was like, it was so many questions.

[B]

Sick. So is it something where people are just like all day talking to you guys or Is it open and close?

[D]

Wow.

[B]

So it's like AOL chat room.

[C]

It is.

[D]

It's like new agents.

[B]

Oh, I'm joining beauty.

[C]

So, like, literally fantastic.

[B]

Yes.

[D]

Yep.

[C]

Okay.

[B]

It's brilliant.

[C]

So our first question is from Cassandra Sung. She was saying. I was just talking to a coworker about the fillers, toxins, surgeries that celebrities are getting. The undetectable kind. Would love some deets on that. The recommendations, how to achieve that ourselves as non millionaires. She phrased it as the real world 40 versus the Hollywood 40.

[D]

Okay, Cassandra, I just want to say this. You mentioned celebrities were not. Because there is no proof. Proof of. No confirmation. Celebrities that you listed have gotten any work done. We can look at them and assume. Vanessa, I'm actually curious your thoughts on this, because when I see Real World 40 vs Hollywood 40, I think that obviously Hollywood has things at their disposal, and that's why. And it's their job to look good. But I also think people are confused about what 40 looks like in real life.

[B]

I'm confused.

[D]

Do you think we're supposed to look like the Crypt Keeper because we're all almost 40? Yes.

[B]

Let me tell you this. Okay? So I know that, Sarah, you had your 20th high school reunion. Yes.

[C]

So did Kirby.

[B]

I did.

[D]

Two weeks ago.

[C]

Oh, my God.

[B]

I know. Okay, that's an episode. You guys need to do this. And I had mine also back in November last year. And I was confused. I was like, I wasn't sure what to expect showing up. First of all, I was really excited. The things we do hosted a booth. You know what I mean?

[C]

Oh, my God. Seriously.

[B]

Okay, girl. I was like, let's do this. It's a business move. Also so curious. And showed up, and I was like, the women are killing.

[D]

I was like, look incredible. And the men look like they left them. They have their former self.

[B]

Yeah, it was.

[C]

They haven't washed their face or applied sunscreen since 2000.

[B]

The men looked worse for the wear, definitely. And I was like, you know what? I'm. I'm confused at what? Because we all had the same resources. All Everyone here. And you know what? I was so proud. I was like, okay, ladies. Killing it. You know? And I was like, guys, you're truly. You're like 40 that we pictured in the 90s. You know what I mean?

[D]

New marketing idea for Javo High school reunions. Please just hit up the high school reunions.

[C]

So smart.

[B]

Just six months before so they can get two treatments in at least, you know what I mean? And be ready for the Event. Come on.

[D]

Yes.

[B]

So I. I'm confused, too. I think we're all confused. So here's the thing. We're. We're the generation where things. We have unlocked treatments in beauty that generations before us never had access to because, one, they weren't invented, or two, if they were invented, they just weren't accessible. You know what I mean? So now it's like, things have really changed. And I. I think it's a really important question that Cassandra is. Is asking, because I. We've seen celebrities who have done nothing for so long, and then all of a sudden do something, and it's like, whoa, what? And it's not even too much. It's just. It's really different. You know what I mean? So we've also seen celebrities where they start off from a younger age doing a lot, and then we have seen celebrities where it's like, are they doing something? Maybe, maybe not, right? Maybe it's a little bit of, you know, an injection here or there. Maybe it's facials. Maybe it's a diet, because they said it was, or maybe it's balls to the wall doing everything, but it's just done really great. And there's new techniques. So. Because I have a lot of patients that are in that industry, and people have on the Internet made videos of my patients who are in the entertainment industry saying, these people don't do anything. They age gracefully, but look how great they look. And I'm like, baby gut.

[C]

But come, if you only knew.

[D]

Be so serious.

[B]

I be so serious right now because I've been doing treatments for them for a long time. And it's a lot of treatments, but it's tasteful little treatments here and there. So it's a PRFM treatment. It's consistent neuromodulator. It's making sure that we're doing things that really preserve their best features. And also if they have weaker features, strengthening those features to balance things a little bit more so that in a couple of years, this person looks just hotter for some reason, where they don't look like a completely different person. And it confuses everyone. It's just consistent work over time. But most of it is consistent neuromodulators and consistent bio stimulator work okay. Not a ton of filler.

[D]

What do you mean by strengthening features?

[B]

So if somebody has. If we look at the thirds of the face, and this draws back to facial balancing. So somebody has a really strong forehead, first third of the face, second third of the face, stronger, stronger cheekbones, but they Have a weaker and softer third, lower third of the face. Then I look to that person and say, okay, because the first and second third stand out so much to the natural, innate human's eye. What we want to see, what we're attracted to is more balance in the face. So if something is too outstanding to make someone more attractive, whatever the weaker third is, you embellish that a little bit more. Then all of a sudden that person is like 15 more attractive. And nobody knows why. It's different from when someone gets jawline filler and they look like they've had this like, you know, popsicle stick, just like, you know, or ice cream cone just popped on the chin. It looks so weird. That's not what I'm talking about. It's like finding where someone is a little bit more negative vector. So where their features pull downward. So around the outer lateral canthus of the eye, if you have a downward, outer lower pull, if we pick that up by just a tiny bit, we see that someone looks more awake and refreshed and attractive. So these little angles, these little downward shifts to upward shifts, these little, you know, thirds of the face, Working on the weaker portions of the face and really drawing that out a bit more makes someone more attractive and makes them look younger, but they still look like the same person. And it's small enough of a degree of a difference where people notice, but they have no idea. And it. It infuriates the public. Cause it's like, what's happening. Yeah.

[D]

Does it also include. So you mentioned neuromodulators consistently prfm?

[B]

Yes.

[D]

Microneedling.

[B]

Yeah. So microneedling is a bio stimulatory treatment because we're trying to use the process of controlled injury by these micro needles and to induce your own collagen production. And also elastin fibers to tighten those, to shrink those fibers as much as possible to strengthen the skin. Microneedling is one of those thread treatments, is one of those sculptra, hyper dilute sculpture, hyper dilute radius. All of these things that aren't quite fillers, that aren't quite plastic surgery, but really strengthen the scaffolding of your tissues.

[C]

Okay, Love that.

[D]

Love. All right. Catherine Barrow says, I would love to know more about micro needling. Is it good for the average acne scarring? How many sessions and over what period of time should the sessions be done? I'm looking into it for my wedding next October. I have a pretty significant scar, Slash marks on both of my cheeks.

[B]

Yes. So microneedling is fantastic when treating Rolling acne scarring. If you have the other two types of acne scarring, which is ice pick scarring or boxcar scarring, it's really difficult with a specific amount of. Usually what we say at cosmetic dermatology offices is around three to five treatments, sometimes two to four treatments. For more conservative scarring, it's really hard to really make a dent in that scar tissue. But if you have rolling acne scarring, you can see a beautiful difference within three treatments and you can do more than that. So you would do the treatments once every four to six weeks. And every time you get a treatment done, you should see an improvement of around 5 to 8% accumulation. So once that collagen builds up, you have this new shelf of almost like skin smoothing, skin plumping, and you can continue that journey.

[D]

What is rolling acne scars?

[B]

Rolling acne scarring looks almost like flatter acne scarring, but it almost rolls on the top of the tissue.

[C]

So it's not as deep. Correct.

[B]

So ice pick scarring looks like these tiny ice pick indentations in the skin. They go a lot deeper and they're very small in surface area. And boxcar scarring is almost where you see these kind of like flattened craters and the edges of the scarring are really jagged. Those are very hard to treat with. Microneedling, usually laser treatments are involved and are much more impressive in result.

[D]

What kind of laser for that?

[B]

CO2 Fraxel. You can also see a difference in that type of scarring with like a, you know, non ablative laser, but it really depends on the person's skin type. Also hyperpigmentation, all of that, all of their skin history. It's a really deep process improving acne scarring.

[D]

So Catherine should start now if she is planning for next October.

[B]

Absolutely. Okay.

[C]

Okay. Ooh, I can answer this one. Jamie Regan Sunspots. Best ways to degrease them. Picosure Pro Laser baby.

[B]

Picosure Pro is amazing. So I think that if you don't, let's say you're in the middle of somewhere when you don't have an office close to you that has the Picosure Pro laser. I would say if you're looking for ingredients, look for things like if you're going non hq, non hydroquinone, alpha arbutin niacinamide. The combination of those are wonderful for fading brown spots safely. However, if you do have a Picosure Pro laser office close to you, go for it.

[C]

Oh, my God. This little sunspot here. I've done two sessions and it's like you can't see it anymore.

[B]

It's crazy when you're pointing to it. I was like, where is it?

[D]

What are you talking about?

[C]

Is right here.

[D]

Yeah. Picosure help with melasma.

[B]

It does. So it's one of the only FDA cleared lasers in the US to treat melasma specifically.

[D]

Oh, I need you to do this on my forehead and cheeks. I need this done.

[B]

Melasma is so, so hard to treat. So it, it was incredibly impressive to me that when I was doing all of the research, this is one of the lasers across the world, all nations, to treat and improve melasma.

[D]

Okay.

[B]

So if you have a little sunspot walk in the park.

[C]

Yeah, yeah. Whoa.

[D]

100%. Yeah. I, I need to do this for sure.

[C]

And you also mentioned because someone had asked, like, oh, I want to like, you know, keep my natural freckles.

[B]

Yes.

[C]

And it won't get rid of that. It just gets rid of the damage.

[B]

Sun damage, which is, I think, really impressive. So it's attracted to unhealthy cel pigment. So if you have natural freckles, your freckles will stay if you have a beauty mark. Like, I was so scared to get the treatment. I was like, this has to stay. Do you understand? It's like a part of my identity. What do people don't recognize me anymore if I don't? Yeah. They're like, what? And they were like, no, it's. That's a healthy cell. That's part of you. It's going to stay. But anything that's sun damage on top of that, or if it's hyperpigmentation due to injury to the skin before, like breakouts and stuff like that, that will be removed.

[D]

Yeah.

[C]

Crazy.

[D]

Fascinating. Okay, Paolo Trinidad says, what are tips for taking care of rosacea at home?

[B]

Oh, my gosh. I love this question because I have rosacea. Did I tell you guys that in the last episode? It's really rare for brown and black people to have rosacea and have it manifest in clinical ways that we can recognize hallmark signs in dermatology. So it shows up very differently for us. So for the longest time I was just like, oh, I have these annoying hives and breakouts. More glycolic acid. More glycolic acid. And then I, I was wearing away my barrier. And it's so crazy because I have all the tools in this industry and have access to the best in this industry to get the help that I need. But everyone was classifying it wrong, not just myself. Even the Specialists that I was seeing. And then an acupuncturist was like, oh, you have rosacea. And I was like, excuse me. And started looking into it. Contacted a dermatologist who works with skin of color and was like, yeah, you have, you have rosacea. And I was like, fantastic. One more thing in my mid-30s to discover about aging and skin. So I have done so many different things to figure out how I can get my rosacea under control. How to make sure that I don't flare it up, but also how to make sure that I don't trigger it in the future, just even a little bit. Because it has to do with diet, it has to do with temperature. It's a lot like melasma in the sense that so many things can flare it up that you're not even thinking about. So I'm vitamin C sensitive. I can't use vitamin Cs. I've used so many different types of derivatives of vitamin Cs. All these antioxidants break me out. A lot of different actives break me out. I basically can use rice water on my skin. No, just kidding. I can use a lot of things on my skin, but I just have to be very careful. So rosacea specifically, treatment wise, I have to say it's not indicated for this, but Picosure Pro also helps with rosacea. Ingredient wise, there is something about ceramides fatty acids that really help protect the skin, especially rosacea prone skin. So a part of rosacea is drying out too much. So when your skin dries out, especially when you're sleeping, there's something called trans epidermal water loss. You wake up, people with rosacea will wake up with more redness, more dried out skin and it's more irritate irritation. So you have to make sure that while you're sleeping you have the most juiciest, protective, beautiful barrier saving ingredients. One of my favorite products that I discovered recently is called Physiogel. It's huge in Asia, it's available for purchase here in the US but it's actually a German company. So if you think of German skin, a lot of Germans have, they're prone to rosacea. And this has really taken off in Korea because so many people have redness sensitivity, all of that. So it's one of my favorite and I think it's, it's so accessible. It's so I think it's maybe like 17 bucks or something like that for a huge bottle of like 6 or 7 ounces.

[C]

Is it like a gel?

[B]

It almost Feels like the Aquaphor zinc for baby rash, which is wonderful and protective also, except for I can only handle so much thick zinc on my pillowcases every night, you know what I mean? So the physio gel is almost like a daily use of that. So it does feel a little richer than a normal moisturizer. It feels almost like. Yeah, just kind of like a watered down Aquaphor zinc, that baby rash cream that I've talked about so many times on my page for people who have sensitive skin.

[C]

Okay.

[D]

Have you ever tried anything with snow mushroom in it?

[B]

No. Should I?

[D]

I feel like snow mushroom might be great for rosacea just because anytime I use a product with that ingredient in it, it takes down my redness and readiness almost immediately. The Inkey list actually used to make one of my favorite moisturizers. It was so affordable. It was a snow mushroom moisturizer, but they stopped because it's actually an expensive ingredient to formulate with. I have since learned. So.

[B]

But I'm pretty sure I'm open to it.

[D]

Good light includes it in their toner. Their milky toner. Yeah, anytime something makes my skin immediately just look more clear and less ready. Yeah, I know there has to be some type of fungi in there, but usually snow mushroom.

[B]

Fascinating. I'll give it a try.

[D]

Take a look. See, I have no proof that it actually helps with rosacea. Anyway. I don't have rosacea. I just have the, like, redness sometimes.

[B]

So. Yeah.

[C]

Okay. Thoughts on high frequency facial wands?

[B]

So I love an HF1, you guys. And I love this question because I don't think that this person realizes how obsessed with it I am, to the point where during 2020, when everything was closed in LA and estheticians couldn't work for the better part of an entire year, our patients were sending in emails and were DMing us saying, like, what can I use for these breakouts? I can't see. My esthetician. I can't see. What should I do? So we created a high frequency wand for face and for body with two different. So inside the little glass part of the wand is gas, and so we have two gases. One is argon, one is neon. So the neon one almost emits this, like, violet. I'm a little colorblind. I've been told it's violet. Blue. Same to me, it's blue. So it's a violet flash blue light. Who knows?

[C]

Yeah.

[B]

Okay. And that one is specifically for acne. So if somebody has acne breakouts on the chin, on along the jawline, on the forehead. And they feel like, okay, I have a huge event coming up. I need something to really kill this as quickly as possible. I can't make it in for a cortisone injection. What should I do? You can take that wand and just wand over that breakout for about 30 seconds and you're done. Do it again the next day and then you're done. 30 seconds is really all it takes. What's happening is that gas that's inside the glass. Once the electrode is turned on, once it has power and it's waving over the skin, it emits this ozone. And so it's a little layer of this cloud with that gas.

[C]

And.

[B]

And it's a strengthen oxygenation. And so P. Acnes, that bacteria that is causing most of our breakouts, it can't live in the presence of oxygenation. And so what happens is you have this beautiful resolving of those acne, you know, whatever's coming out right before your event, as the universe would have it, you know, very quickly. And so the other ones have neon, which is the most popular one. So it almost looks orange or red to me. Again, Kirby confirmed for us. It's like orangish, maybe. Orange, Orange, red to me. Yeah. And that one is for rejuvenation. So we. We use that for the scalp for follicle rejuvenation. Use it all over the face.

[D]

Yes.

[B]

I use it on. This is where I'm seeing aging now that I'm 39. The inner skin on my underarm and inner arm area. What is that?

[C]

So you're going like, what is.

[B]

I'm rolling it all the way and I'm rolling it on my neck, chest, and then I'm doing the inner arm because that skin is just so thin and soft.

[C]

Have you ever used.

[D]

Yeah, I have.

[C]

I haven't used. I need one.

[B]

I need yours. I have, but it's won a few awards, remember?

[D]

This is off the record, remember?

[C]

Yes.

[D]

There was one that was sold that was like exploding on people.

[B]

Oh, so this is why it's so important to go with not just anything you see on TikTok shop and on Amazon. Because we tested so many different manufacturers. They were electrocuting us. They were exploding. Are you kidding me? I'm using this by my eye. This is crazy.

[D]

And it's gas.

[B]

It's gas straight up. And who knows what gas is being placed in there for some of the exploding ones. What's happening?

[D]

Yeah.

[B]

So really important to go with a trusted brand.

[D]

Totally agree.

[C]

Okay, I'm going to get yours.

[D]

All right. Last question from Sarah back. She has a question for her fella. The skin under his beard can get really red and dry. Any tips for products that you recommend for him?

[B]

Okay, so number one, and I know this from my husband also, men aren't great with cleansing where there's facial hair. So they're like, oh, this is skin. And I'm gonna cleanse right here on my cheek. You gotta take it all the way down, guys. All the way down. So number one is start cleansing the entire face. Yeah. Number two is please also make sure that you're moisturizing that area too. So so much of the irritation is that skin underneath the beard not being cleansed properly and then also not having protection. So no moisturizer, no sunscreen. Even though it's getting less sun exposure, UV exposure, we still need to treat the skin. So really, it's just the basics. Just bring it down to the hair area.

[C]

Yeah.

[D]

Okay.

[B]

Simple. Yeah.

[D]

Super simple. Vanessa, thank you so much for coming back, answering all of our listener questions. All of our questions about Jeuveau. Remind the people where they can find you.

[B]

In Los Angeles and also in Hawaii at the Things We Do. We have five locations and growing. So exciting. And also on socials, you can find me at Vanessa Le. RN and the Things We Do.

[A]

Banking with Capital One helps you keep more money in your wallet with no fees or minimums on checking accounts and no overdraft fees. Just ask the Capital One bank guy. It's pretty much all he talks about in a good way. He'd also tell you that this podcast is his favorite podcast too. Ah, really? Thanks. Capital One Bank Guy. What's in your wallet? Term supply. See capital1.com bank capital1NA member, FDIC.