The Bossticks - Dr. Sheila Barbarino On How To Look Younger Without Looking Overdone, What Actually Works & The Treatments To Avoid

Episode Date: August 13, 2026

#997: Join us as we sit down with Dr. Sheila Barbarino – board-certified cosmetic and oculofacial plastic surgeon specializing in advanced facial rejuvenation and full-body aesthetic surgery. Known for her natural, undetectable results and meticulous surgical approach, Dr. Barbarino combines cutting-edge techniques with an artistic eye to help patients look like the best version of themselves. In this episode, Dr. Barbarino reveals why true facial rejuvenation starts with building foundational support, exposes the biggest mistakes she sees in cosmetic procedures today, shares her honest thoughts on fillers, threads, microneedling, and GLP-1 facial changes, explains how to choose a provider you can actually trust, and breaks down the treatments, skincare, and protocols she believes deliver the most natural, long-lasting results.   For Detailed Show Notes visit TheBossticks.com   To connect with Dr. Sheila Barbarino click HERE   To connect with Lauryn Bosstick click HERE   To connect with Michael Bosstick click HERE   Read More on The Skinny Confidential HERE   Head to our ShopMy page HERE and LTK page HERE to find all of the products mentioned in each episode.   To learn more about Dr. Sheila Barbarino visit https://barbarinosurgicalarts.com.    This episode is sponsored by PVOLVE Head to http://pvolve.com/skinny and use code SKINNY for 15% off sitewide, or on class packs at a Pvolve studio near you.   This episode is sponsored by Boll & Branch Sleep cooler this summer with Boll & Branch. Get 15% off your first order plus free shipping at http://BollAndBranch.com/skinny with code skinny.   This episode is sponsored by Fatty15 Fatty15 is on a mission to support Healthy Aging for All, including all ages and stages of life. You can get an additional 15% off their 90-day subscription Starter Kit by going to http://fatty15.com/SKINNY and using code SKINNY at checkout.   This episode is sponsored by Paleovally Head to http://paleovalley.com/skinny for 20% off your first purchase.   This episode is sponsored by Vivrelle Visit http://www.vivrelle.com and use code SKINNY for your first month free.   This episode is sponsored by JS Health Vitamins Lean+ Go to http://jshealthvitamins.com/skinny and use code SKINNY at checkout for 15% off your order.   This episode is sponsored by BetterHelp Visit http://Betterhelp.com/SKINNY. Produced by Dear Media

I convinced my favorite injector in Austin to come on the show. What I like about Dr. Sheila Barbarino is she knows her shit when it comes to looking good. Dr. Barbarino, welcome to the Bostics. Welcome to the Bostics, starring Lauren Bostic and Michael Bostick. Together, they are the Bostics. What cosmetic treatment causes the most problems when it's done badly? There's so many. Where do I start? Surgery is a hot mess express if it's done badly. I feel like overpulled, underpulled.

You know, one thing that a patient really has to be clear and make sure that they see eye to eye with their surgeon is the end result. Because if they don't ever see eye to eye, you're never going to hit the result you want, right? So I've seen so many patients that are like, the only reason why I did a facelift is because I wanted to address my jails. And then when the surgeon got in there and they didn't even touch the jails, like, of course, you know, you go through all the surgery and then of course you're disappointed, right? Because then you have this recovery time. And they didn't even really, you know, treat or even touch the part that really bother you, right? So like, if you go in and you're like, I want a facelift, but it's really your eyes that are bothering you, it's, you know, part of the surgeon's job and the provider's job is to figure out what really bothers. that person and what's going to be the best outcome. Because they, you know, you guys didn't go to

medical school. It's not your job to figure out what treatment. There's so many times that patients come in. They're like, I need Botox. I need this. I need that. I need this. But what they're really saying is this is what bothers me. And that's what you have to get to. I think that what you're really good at that I've noticed is you're good at supporting the foundation of the face. And sometimes, to your point, it's not, it's not the under eyes. It's maybe that they don't have enough support on their cheekbones. So when someone comes into you and you say, tell me what you don't like, they'll tell you what they don't like. And then do you come back and do you say, actually, this is what's bothering you and walk them in a different direction? Well, like you said, the foundation

is everything. So you have to set them up for success. So if it's like, oh, it's my tear trough that bothers me. Oh, it's my under eyes. I look so tired all the time. If they don't have a good foundation to start with and frame the eye using the temples, the midface, the lower face, it's never going to look good, right? Because it has to have the support underneath versus just treating that one little area. Every time we treat one little area in aesthetic surgery, it's just, it's the wrong approach. You want to really globally look at the patient and see what's missing. What would really be the most impactful and really make them look like the best version of them? That's what they want. Speaking of missing, what is happening with Ozempic face? Are you seeing that in your office?

And how do you support that? All the time. I think everyone in the world is on ozempic, triseptide, retrochutri-tide, whether they admit it or not, right? And for whatever reason, whether it's, you know, we're seeing so many wonderful side effects, right? You know, anti-L-timers, preventative cholesterol problems, like all of these wonderful side effects that we all could use, right? And what we do know is that overweight people have medical problems. They have diabetes. They have high blood pressure. They have high cholesterol. I think it's a wonderful thing that we now have these drugs that can offer these people a better,

healthier lifestyle with, you know, the genetics are fighting against us, right? So it's really tough. But what the downside is is that it really is leaving us hollow with rapid weight loss. You lose tissue. You lose facial fat. You lose muscle. All of these things that, you know, aesthetically don't look as great as they used to when you had that full face, that full fat face. So You know, I think that slower is better, you know, slow and steady, when's the race? But I think if you do little treatments along the way as your weight loss journey is happening, then that's how you're ultimately going to look your best at the end when you get there. You know, a lot of patients are like, oh, you know, I just want to wait until I lose 40, 50, 60, 70 pounds,

and then I'll get a facelift. I don't think that's the way to go because by then you look like a melted wax candle. Ah, right? And there's so much more to do. and then the skin texture tone and texture is not as good as it would have been if you biostimulated or added things along the way. What are the things people are coming to you for the most to fix? So I do a lot of revisions and a lot of complications.

I think there's just so many providers out there. You know, I don't want to bash. I think that it's so wonderful that we have people that are willing to learn that want to be in this space because it's so fun and it's so fun. fabulous and we get to wake up every day and make people look good and feel good and it's like such a gift so I'm like so happy that there are all these providers that are in the space the problem is is that these providers you know they're one year two year three years out and they don't know how to make the patient look their best or their dermatologists practicing plastic surgery

there's that right so you know what people don't know is certification matters yeah training matters right and um you know i was telling Lauren yesterday that my training is a little bit different than just the average facial plastic surgeon. So, you know, I'm oculophacial plastics. And then I went full body cosmetic surgery because my my ocular facial plastics, apparently people would say, oh, you only do face and eyes. Like, can you do my stomach? Can you do my and I'm like, oh my God? And at the time I was eager and had tons of energy and was like, yeah, I want a liposuction. I want to do these things. So I took a couple extra fellowships to do that. there are a lot of people that don't understand that when you get a medical license in most states,

it says medical medicine and surgery. So like an ear doctor, like I said, I know plenty of ear doctors that do wonderful work, but there are tons that don't. You're an ER doctor, but now you're doing plastic surgery. Yeah. And you can do that. Yeah. Or our dermatologist, you know, there are interventional dermatologists. They're a surgical dermatologist. They're great. They're wonderful. But some of them didn't do that foundational training of how to, perform surgery, right? So, I mean, I did surgery, you know, all four years of my residency. So, you know, that's the difference between doing a one-year fellowship of surgery in three years of, you know, bedside, clinical, seeing patients every day in an office versus in an operating room.

What is the Dr. B checklist of what to ask someone? If let's say someone's in Minnesota, they're listening and they want to go somewhere local. What is the checklist that is non-negotiable for the audience? So the first thing you want to do is you want to look at their before and afters. Before and afters are everything. I am against kind of posting before and afters and social media and stuff like that. I think it's not the space for it. Social media is supposed to be fun and I use it as like kind of my happy place.

I think before and afters are a more serious thing that you sit down and you look at pictures and you kind of ask the surgeon what they did. But what I like to do in my office is when I show a before and after, I like to cover up the before and look at the after and say, can you tell me what they had done, right? Because that's the real thing, is you want to look at their after and say, God, they just look great. Yeah. And not like, oh, you've got a face left, a brow left, a no job, right? Lips, all of these things. And then you can look at the before and after because I think it's a lot of these doctors do great marketing and great social media and they have great website people and great PR people. And they're like, razzle and dazzle with these great before and afters. And it's such a drastic change between these before and afters that people like them. But if you really isolate the after, you know, does a patient look pulled? Do they look like themselves? Do they look feminized? You know, the last thing any man wants is for you to make him look more feminine if that's not what he wants to look like. And it's really easy to do. People don't realize that. I did a, my third fellowship was that specialized in male facial aesthetics, which people are like, wow, that seems like an odd

third fellowship. But I spent a year and it was probably the one year that I learned the most. And it was because I'd gone through all the surgical training and then I had to us, other fellowships underneath my belt. And then my third one was really like kind of fine tuning what made a woman look beautiful and what made a man look beautiful instead of just applying these great surgical techniques and recovery and how to post-op people

and how to get best outcomes. What you really wanna do is like, what's the best results that I can give this particular person, whether it's a man or a woman, in the best way possible. We had Dr. Debrough on here who we're friends with. I love him. And we're going to get Paul Nassif on here.

Yeah, she's really good friends with Paul Nassif. I want, you know, I want you. He's in here too. DeBros. But what I was, what he told me, he was, everybody's people tend to beat me up on the show around this topic. And he was saying the same thing. He's like, he told me, he's like, listen, you got to be real careful with guys. You can, he can look feminine real easily. Really?

He was like, real out of him. What would you do for Michael, Little Bozok? I would, I don't want to do. Michael's so cute. Oh, okay. You can stay. Open invite on the show then. So just a little Botox.

Yeah. So here's the thing. What I would suggest for you is really preserving for the future. So that's, I think, the key. I'm melting down on my family. I'm going to be like pulling my skin up over my face here to see you. We'll staple you. Don't worry.

No, but I mean, like, for a minute there was people coming on here saying like, at some point you need to do this thing. And then I talk to him. And he's like, listen, he's like, there's people going real sideways on these things making guys look very feminine. He did not like that idea for me. So you hit two kind of sore subjects. So one, I always think it's funny because.

you know, being a doctor who's out there all the time, you know, on the circuit with all the other doctors, everybody's so harsh with how I look versus how a male plastic surgeon looks, right? You know, there are these guys that are like the rhino experts of the world.

And have you seen their noses? They're like the worst noses you've ever seen. Right? But like if I had a screwed up, Bonzo. Everyone's going to like, you know, whatever, burn me at the stake, right? Which is you know, par for the course, right? So it's such an interesting Meaning like the guys are able to kind of like be falling apart.

Look like hell. They can wear jeans, sneakers, I've got to wear heels, squeeze myself into a dress. I mean, the struggle is real, man, you know, and the bar is high. And, you know, I don't blame them because I feel like you, you know, present yourself and, you know, how we were saying we have Asian descent. You know, what I learned when I was growing up is that it's a sign of respect to put yourself together. It's like, here we go. I told you.

Thank God. Thank God. Nikes. Yeah, but like, when you pull yourself together, you know, people appreciate, like, I appreciate that Lauren looks so pretty, like, that you appreciate me yesterday, like, how I looked. I don't think so. No. When you come to my office, you need to look the worst you've ever looked in your life.

I do. That's what you should look. I've never looked at there. I was scared as a kid to, like, not be put together and leave my house. My grandmother would just tear into me. She'd be like, what are you doing? Good. Good for her.

She's like, you look, basically would tell me I looked like shit and say, like, you don't leave looking like that. We should go to the Austin airport and like criticize all those people that walk in with like pajamas and like they're half tush out, you know, like looking crazy. Oh, don't even get me started on the airport and where people dress in the airport. I will go, I'll go off this whole thing. I don't understand why people like, I just don't understand how people can take themselves seriously showing up the way they do in some places. He gets really mad about it. Yeah, I'm with you on that.

You want to be comfortable. I think they should be more uncomfortable. I agree with you. I agree with you. Yeah, be a little uncomfortable. Like, take a shower. Like, brush your teeth. Come your hair.

Like, be uncomfortable. I had to do a whole thing in this office in the early days. The girls, they want to do like a sweatsuit day. I said, absolutely not. You want to do that. You go build your own company. I'm not showing up a bunch of people in sweatsuits. I've had this.

You know that, Carson? Don't even think about it. Don't wear the bunny slippers. It's not appropriate in the office. No, I don't want to see what you look like when you're laying in your living room or your house on a weekend in the morning. I want to see you pull together, right? I want you to put together.

a shirt. I want you to put on Jack. I want to see some full potential. I know that you guys are about the sweatsuits, but I need to get back to brass tacks. Okay, my question here is, what are things in the face that signify use? Meaning, and I'll give you one that I've learned through you. The temples are something that people overlook, but a little temple filler, which you did on me the other day, just gives you a little bit of use. Yes. What are little things like that that people wouldn't think? So temples are one of my favorite places to fill. The reason why is because as we age, temporal wasting is a real thing. And if you look at older people, go to your old folk center, you know, whatever, you'll see these peanut-looking heads. And what that does is it drops the brow a little bit, drops the smass a little bit, your face is a little bit lower, your jaw lines a little bit lower. If you re-volumeize this area, this peanut area, your head, what it does is it actually elevates the brow in the nicest way. It repositions the brown the nicest way and it lifts the mid face, lower face, and sets you up for success. So you get this

kind of little subtle lift, which you really need. And that's one of those foundational spots that I really love to treat like you were saying. I think also kind of fixating and lifting up a little bit of the jaw line is always no matter what your aesthetic goal at the end as a female or a male. I think a nice jaw line, a nice division between your jawline and your neck is always attractive in both, I mean, in different ways. So, you know, obviously I'd be cognizant of male and female, but jaw lines are such a beautiful thing. And people don't even realize how much it affects the overall look of a face. What about the witch's chin? The witch's chin. Oh my gosh. Wait, so Lauren, tell me, have you ever had your temples done before me? Yes, Dr. Diamond. Okay. And you loved it then.

you love it now. Yeah, but you've taught me, you know, how important it is to just have a little bit, which it doesn't need to be a lot. It doesn't. It's subtle. It's subtle. And it does lift the eye and it does lift the eyebrow and it's just subtle, subtle, subtle. But it makes the big difference. Filler look right now. I look, I look, I like, you look on YouTube to watch, to look at my temple filler. It's fantastic. I mean, there are very few people, I think, that don't need a little bit of temple filler after the age of 40. Okay. It really is an important.

Does you need a little bit? A little bit. A little speck. Open your mouth. Go, uh. Maybe a little. A little speck. Yeah.

I'm not 40 yet though. No. Well, I mean. I have one more year. Well, we'll give it to you. We'll give you like the preventative temple filler. What's the witch's chin? So the witch's chin.

So there are three places on the face that continue to grow. Your nose, your ears and your chin as we age. That's why when you look at that, that's why it's called the witch's chin is that green mask. Um, you see all the, cardinal signs of aging, right? You can see that big totic nose, big chin, big ears. So the problem with us that women don't like, men don't seem to care as much, but as we age,

our chins continue to grow. And the thing is, is that we start to get this little crease right here that really ages us. It makes us look old and withered and not cute and attractive the way we want to look. The witch's chin. That's not all we want to be doing. Martin says I'm a millimeter off, so I can, maybe I'll grow by like a little more chin. Yeah, he's a millimeter off. So he needs a millimeter of hair. You'll grow up by the time. You'll hit your prime soon. I'm working my way up to my prime. I think it's going to be around like 44. That he's a new man. What celebrities or reality stars do you think have had some incredible work? And this is obviously allegedly hearsay. Allegedly hearsay. So I can't use any of my people.

So Anne Hathaway. Uh-huh. She looks great. Agreed. Right? I think she looks better now than she did before. Uh-huh. Lindsay Lowhands glow up was phenomenal.

Amazing. I know the doctor who did. Great. Right. Great. 10 out of 10. What about, who do you think? I think that Margot Robbie looks great.

Yes. I think Anne Hath, I think those. Isn't that funny when you look at her, like she's young still, right? But she looks way better now. I think, I think what is looks. so good to my eye is when it looks effortless and it doesn't look done. You want to just look fresh. All of us just want to look fresh. Right. You know, well-rested, not tired. And like Emily Blunt, like that, her glow-up is great. Yeah. She's subtle. She looks her. Yeah. She looks her. Yeah. There's a movie star glow-up that

I think is so effortless and pretty. You obviously don't want to be looking like catwoman. No. What are things that we can avoid doing when it comes to the catwoman look? So the problem... Women don't want to look like catwoman now? I mean, some people do. No, no, no. You're thinking of cat woman like... Cat-Eye.

Batman. We're thinking of Catwoman. He's looking at like sexy high. Keep up like... Hold on. I got a picture of Catwoman so he really can get a visual. I'm thinking of like... No, like crazy plastic surgery catwoman.

No, look... Yes, look. Like, what's her name, Will Distine? I was thinking of like Hallie Berry Catwoman, Michelle Pfeiffer Catwoman. Oh, yeah. Oh, whoa. No, no, that's not who I was thinking about. Do you know Catwoman?

Michael. No, that's not definitely not. Bless her heart though. That's the, I feel like she was beautiful. Yeah, I think that that, that looks like. People call her cat woman? Yeah. Yeah.

She wanted her face to look more cat like. And shame on the plastic surgeon who did that. Yeah. Right. So how can people avoid that overfilled? Wait, she tried to go for an actual cat look. Yeah. That's, that's the word on the street.

I don't know her personally. Like kind of surgeon maybe kind of did a good job, no. Like that's like if they were like, hey, I want to be. like an actual physical animal cat. Yeah, but at that point as a doctor, you're supposed to be like, whoa, I don't want to make you look like. So like, I don't know who we were talking. Was I not sure.

Were you talking about some, someone was talking about someone's kid that identified as a wolf. Oh, no, that wasn't me. A wolf? A wolf. And I was like, that is so awkward and weird. That's, that's a, I haven't heard that one. Yeah, I'd rather identify as a wolf than a cat, though.

You know what I mean? I don't think we're giving it the choice, Michael. That's because I tell you that you look like a wolf. Okay, so how can people... Actually, if you were... Like, if you had a superhero, you would be Wolverine. That's a good... God, you're just bracketing up the compliments.

Let me write these compliments down. I told me it would be an iguana. I need to save them for later to think about them. Let's keep him humble. Yeah, yeah. I'm like, but you're like... I think you're like Wonder Woman. Okay.

Wow. Wow. Like that's the... I'll take it. If we have like a... Heroes and... That's what we need to have. I saw a comment on YouTube and people were, people were, were

mad because they were saying we were pushing the looks maxing narrative or movement forward, which is like, I guess, a new car. I don't know what that means, but I'm kind of into it. I guess people, there's a group of young men and I guess now women that are doing looks maxing, which I guess is maximizing your looks. And doing procedures and things. I am going to maximize every single area of my life. I'm a maxing person. Yeah, I am too. But I was kind of kind of like part of me was like look bad like oh i want to look subpar well i was like what's the opposite of looks maxing is it like and then they're saying that you can mog people have you heard of this what is morgan carson morging means you like show up i'm also too old for this too i don't

know you show up and you are so good looking that like you overtake another person's looks and that means you've mobbed them oh my god this is a lot of capacity to think these are we got These are I like to live in the moment. Now that I've learned about magging. I want somebody to mock me. Right? Like, I love that person that mocks me. Walk in and bring your A game.

But you don't want to necessarily be on the other end of mauging. Meaning, like, if another man walked in here that was extremely handsome, I would be mugged, in which case I would be defeated or upset. No, I think that is what I think these guys are doing, Carson. half, but not full, like, whatever mentality. Because think about it, if, because Lauren's a girl's girl and I'm a girl's girl, if there was someone that mugged us,

we'd be like, we want to go sit next to her, we want to talk to her. I'm like, what brow powder are you using? Tell me all the things. Let me see that purse. I have been waiting for months to, to bring in maugging into this show. Can you look up Urban Dictionary,

looks maxing and mogging, Carson? What I feel like, too, is like I feel like when you hang around people that are smarter, faster, better looking, you know, work harder, like you up your game, right? So I like, mug me every day because then I'm going to be like, wow, maybe I need to look better, you know, and then I'm going to do whatever it takes to up my game. What is it? What did the definition say? Here's what it says to be dominated or made to look inferior by somebody else. That's when you mugged them. What is looks maxing? I don't know. I mean, it's

Maximizing your looks. Yeah, maximizing your looks, but... Dr. B, yes. I want to know how people can avoid looking like Catwoman. You have to go to the right surgeon and the right doctor,

to be very honest. You know, I think there's, it's very hard to be a patient. If you go into any, the local, whatever, injector, surgeon that you know nothing about, I think you're very unwise because you can end up looking crazy and not the way you want to look.

Because when you, oftentimes it's not the case like what we're saying with Wildersine. Sometimes people are like, I just want, my eyes are looking tired. I have a little bit of extra eyelid skin. Take me back. Let's clean this up. And they come out. I actually had a patient this morning that had two bleferblasses. She's young.

And they were terrible. She looks awful. What do you do? So the problem is that... Is she aware of this? That's why she's in my office. But there's very little I can do sometimes, especially when they've taken too much skin.

Sometimes it's let's wait until you get a little bit more lax so I can do something surgically. And sometimes we can tweak here and there. But like it's hard to undo some problems. I mean, I feel like I am very good at being like a MacGyver and trying to figure out, you know, oh, they put too much fat here, they did too much of this here, and then kind of undo that. But sometimes it's really a journey after they go through all this surgery and then like,

I look terrible. And then undoing it is a real battle. What else can you not fix? You know, like I said, surgery is the one thing that is really hard to. Neuromodulator sometimes, you know, because oftentimes you just have to wait for it to fade. And it does, which is great. You can also flush. Some cases have been reported in studies that you can take back your static sodium chloride and flush the area if it's soon enough and kind of flood the channels and get rid of the weird Botox or normodulator that you had done by someone. You know, a lot of the fillers are reversible, so that's not a problem.

So I think that's great. That hurts, I heard. I heard that hurts. I've never had that done. It actually does. How did you know it? That's so funny. Everyone talks about how much it hurts.

High Linux. Yeah. When they take the filler out. I heard it hurts so bad. It's so funny because you're like making this motion like this. You're just injecting with a syringe or a needle just like... Oh, you don't take it out. No, it melts from...

Got it. It's an enzyme that eats away at the filler. How do you know that it all... It dissolves it, but it does burn. How are you sure it can like get it all and melt it all? Some people say that you can't get it out. Is that not true? Well, it depends on the...

And I don't want to be too technical, but the cross-linking of the product of the product, of the hyloronic acid. So if it's very cross-linked, it takes often a lot of the hylonex, the burning fluid that reverses it and breaks it down. Most hyloronic acid is very easy to dissolve. There are some that are like, I joke around that it's like licking a jawbreaker. So I tell them that, you know, because I've had lots of patients that have had very highly cross-linked filler and then we have to reverse it. So I'm like, this is going to take four or five sessions. Yeah. And that's a pain. Oh my God, four or But sometimes you can do it in one session and it's easy and it goes way right in front of your eyes and it's great.

Tell us about trap talks. Trap talks. Yes. Wait, was that your first trap talks? Yeah, I tried Trap Talks yesterday. It's going to make her taller, thinner, richer. Don't worry about it. Don't worry about it.

Bonus. Good thing you married her. So yesterday I tried Trap Talks. Yes. And it's like a couple little tiny injections on your traps. Trapesias. Yeah. I feel like I'm I put a lot.

Does it relax you? Yeah, I put a lot of tension in my trap. So you know how all of us kind of, when we're stressed, we're kind of, yeah. And it just kind of relaxes that, you know, permanent like, you know, cramp that you have from like typing on your computer or that stress that you carry here. Sandy, my train or two is working with me to pull my traps down. So I think that's a lot of it elongates the neck. Yeah.

Well, a lot of people probably have tech neck too, right? Where they're just sitting on their phone. For sure. So what does trap talks do and why do people get it? So it's the treasiest muscle. and it relax the trapezius muscle so that, because like I said, a lot of people, when you're getting a massage, when they're massaging your neck in your shoulders and your trapezius, that's where you feel all that lactic acid breaking down right? When you're like, yeah, that's where,

that's the tightness, that's the knot. So using Botox or neuromodulator there relaxes it. So you're like, it just relaxes it for you so that you can't make that motion. And it really, people love it. It's like a game changer for a lot of people. Speaking of Botox, what about for people that are concerned about it being like a neurotoxin? A lot of people are now online. Like there's a split camp. Some people are saying they love it. Some people are saying like this, it's a toxin.

Like what's your perspective as a doctor? So it's safe. We know that. I mean, we have tons of experience with neurotoxin. What people don't realize is that, you know, we were neurotoxing patients, you know, for way longer than it's been FDA approved, you know, 30, 40, because we had it in the neurology space when people have like cervical dystopia for people that have real medical issues. I started doing neurotoxin as an oculoplastic surgeon for hemifacial spasm.

People have like twitches or post-stroke cervical dystonia, bluffer spasm. And so some people can't even like open their eye unless you Botox or neurotox around their eyes. And that's where I start my journey as a toxer, you know, for patients. But like I said, it's safe. We know that how to keep people from getting resists. I always tell Lauren, I'm like, you know, you really have to space it out three months and don't go within those intervals. Because if you start to creep up that interval, that's when people are like, well, I used to only need 30 units. Now I need 60 units. Now I need 70 units. And now it doesn't

really work that well at all. Because they're doing it too frequently. They're doing it too frequently. And it's like, kind of like, I don't know if you're familiar with like allergy shots. You know, when I was younger, I had allergy shots. And every week I'd come back for the shot. And I thought that the shot was like preventing me from getting allergies. No, it's, It's a small microdose of all the things that I'm allergic to. And what's doing is it's sensitizing me to whatever, you know, allergy that I had. So it's kind of the same thing as if you go within that window, your body's recognizing that neurotoxin and then causing immunity and resistance.

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We lie to ourselves all the time, right? Everybody wants to do it naturally. Everybody wants to do it on their own. You know, I think it's very hard after a certain age to lose weight and maintain weight because of hormones and genetics and lifestyle. You know, like, you know, I think a lot of people have, you know, different schedules and they can't make it to the gym or, you know, finances and they can't, you know, afford the gym membership or whatever the case is, you know, but either way, if they can afford

this wonderful medication, they can keep the weight off, which is really important to diabetics and hyper high blood pressure, you know, because that's what's really going to kill you, right? It's all that inflammation from, you know, the years of high blood pressure and the years of diabetes, you know, it's going to cause blindness. It's going to cause all of these terrible things. and you can really keep your weight maintained with these gLP ones. As this conversation's evolved, I've become more interested in it just from like a macrovo because I think one of the things that people struggle with in this country is just like overall general health care and the cost.

Yes. But because all the diseases you just mentioned, like people are like Europe or Canada, it's because we are very sick in this country and we have a ton of obesity and ton of sickness and a ton of disease that's running rampant. I think that these medications can potentially get a lot of those under control, whether it's diabetes or obesity or heart disease or whatever. Were we like the fattest country in the world at one point? Yeah.

And so I think like if you some of these medicate, like what will be interesting to see in the long run here is what happens to the health care in this country if you are able to mitigate some of those other diseases that are burdening the health care industry with exorbitant costs. Well, I think that's why. I don't know if you guys have seen, but in Congress are trying to pass these laws that, you know, if you have a certain, you know, amount of health conditions that you get these GLP ones for nothing, right? And the government will pay for it, which I think is an interesting take on these, right? Because, you know, who doesn't want lower health care expenses? That's the

reason why, you know, the hospitals are going under. That's why, you know, insurances are so high, right? Because it's those people that are, you know, really, they need all this health care, they need hospitalization, they need all of these surgeries, right? They need triple bypass surgery. They need this. They need that, right? And these medications can really prevent a lot of those surgeries. Yeah, not to like open this can of where it was the people like, you know, the health care debate in this country, like we're not like other countries because we're so sick that universal health care for free for everybody is like it's not viable with the health conditions we're in right now. You got to get you got to get the health back on track first before you can start having those discussions or else we're just going to be overrun and the resources are going to be stretched too thin. If you could only spend money on one cosmetic treatment in your 30s and your 40s and your 50s and your 60s.

Oh, that's so hard. So what would you do? Oh my God, one. By decades? Yeah. For 30s, I would say Botox. Yeah, okay. Because it's preventative.

All right. Fair? Yeah, fair. Fair. I guess 20s, maybe I'd, well, good skincare is always. Okay. Microneedling. Yes, I love microneedling.

Isn't that great? Okay, what about 40s? Your biostimulators, your sculpture, your radius, right? You want to build for the future. You know, I know that you're not a huge fan of threads yet, but Threads is PTOs are very biostimulatory. Let's talk about that. I went to Dr. B and I'm like,

I'm the type of person that when I'm ready for a facelift, I want to do it a little bit younger than normal because I feel like if you're going to do it, just do it. I'm an intense person. And I would rather not do threads and wait to get a facelift, but you think I'll like threads. I don't know.

I'm so like, I'm kind of a pussy with pain. And I've heard mixed things. But Dr. Diamond doesn't like threads, right? Yeah, so some people don't like them. So talk about your experience. Do you like them? Yeah. So I think that my experience comes from, I train and teach outside the United States all the time.

And I think outside the United States has a very different perspective in aesthetics. So all of the plastic surgeons outside the United States do threads, filler, neurotoxin, biostimulators. That's their armatarium. That is a normal, like half the surgeons I know outside of the United States, States, when they do surgery, when they do their deep face lift, they actually do threads at the same time. Oh my God. Have you seen like the netting post, um, facelift that they put on like for healing to make sure that, uh, everything stays up afterwards? Yeah. So I'll, I used to use that, but now I use internal threads because think about it when you lift the face and you, um, you know, cut the spas and all

this stuff, it will pull it that much higher and keep it there. That's interesting. While it's healing. That's so interesting. Isn't it great? Instead of using that jaw bra that everyone uses, I do still use the jaw bra. But you're internally doing threads with the facelift. Exactly. And I feel like I have longer, better outcomes. This is my, I'm all, like, you can pick on me on the show.

The reason that threads give me anxiety is that there's something that doesn't feel, it feels weird to me about threading something through your fascia. I don't know. It just sounds really intense. I mean, it might sound intense, but think about it. It's the most biolostimulatory product that you could ever put in there. So it's PTO threads. You put it in.

And what it does is for six months, it's actually stimulating collagen and elastin right where you put it. And then it dissolves on its own. And then the lift is maintained by the collagen and the elastin that's stimulated by the actual thread that was put in there, you know, earlier. What if I'm obsessed with facial massage that I do once a week? I am. You can do that with threads. Yeah. Totally.

I do it. Everyone has to weigh in on their space. I use your thing that you gave me. Yeah. I love it. Ice roller. You can use no problem. Great.

So you like, if someone's like I want to get a facelift, you would say go for threads first. No, not necessarily. It depends on how they look. Depends, yeah. To be the best doctor, the best plastic surgeon is that you have to really individualize your care for each patient. So someone that's post-facelift one year and now sees some sag and wants it tight again, I think that's a wonderful patient for threats. That is, I mean, you're not going to get another facelift one year later.

Like, that's silly. Sounds like also this is another thing where you've got to be careful with who you go to, yeah? For sure. Okay, so that's actually great. That's the point. That's it in a nutshell. This is a weird thing that I'm thinking the whole time he has been talking, I'm looking at this like getting tattooed.

Yeah, it sounds strange. No. Like you don't want to go to a guy that is just training, maybe. You also don't want to go to somebody that's, you got to like see the work. Yes, I've done it for 10 years. I've done threads for 10 years. I think that there's a lot of novice thread people out there. You know, there's so many times that my friends that are great surgeons that are like,

you know, Barbarino, I tried threads for a year. I didn't like the results and you're like, that's because you only did it for a year. I mean, were you a good filler? For some reason, people think that there's this equivalent, like, everything's equal, right? So, like, if you're a great surgeon, you're a great injector. Not true. Right. So many crappy injectors that are great surgeons.

So many crappy surgeons that are great injectors. It goes all the way, right? So threading is a totally different modality. So treat it as one. After one year, you're not going to be great. You're just learning, right? So, you know, a whole thing. The good thing is that, you know, there are, unfortunately, very negative.

risk that can happen with filler and I love filler I have tons of filler like I love filler I do it every single day it's great but there are you know risks of blindness there's risk of vascular occlusion there's risk there risks right and every procedure has its risk surgery has its risk right the good thing about threads is that there are complications that can happen none of them are permanent so that's something that people should think about right so when a lot of my providers are like you know dr barborena I want to learn how you do filler and surgery, but I don't want to learn how do you threads from you? And I say why. And they're like, I'm worried about the complications. And I'm like, that shouldn't scare you as much as all the other ones, you know, because there's nothing permanent. You're saying filler could

potentially cause more complications than the threads. For sure. Wow. So they had a patient that got threads that was unhappy. For sure. So some people are unhappy with it. Yeah. Okay. And you know what the most unhappy thing? You wish they pulled it tighter. Yes. When not. I get my facelift, you got to tell them to give it an extra pull. For sure. I'll, I'll, I'll, I'll, I'll, I'll do it or I'll be in there directing traffic. Don't worry. Okay. Okay. And do you like doing facelifts? And what- I love doing face lifts. I love doing my time. You know, I love, as you know, I love taking my time doing everything. You know, I, the unfortunate problem with today's aesthetics is everybody, like, they love this like churn and burn mentality. Like, you know, oh, I did, like, it's like a, a badge of, you know, honor. It's like, oh, I did 50 people today. It's like, no, it feels like a meat market. I don't want that. I like how every time I go see you, it's like a two-hour appointment. This is, so I've, I'm just going to give my own experience with you. I love it. So I met you because, first of all, I want to say

this. I was actually not planning on having anyone in Austin inject me because I have Dr. Diamond, who I love in L.A. and I have Dr. Dennis Gross, who I love in New York City. So what I would do is like once or twice a year when I went to one of those places, I would go to one of those guys. Yep. And so I decided, this is the whole, you'll have to go listen to this episode, but I got basically exosomes from my placenta into a syringe. I don't, yeah, no, it's complicated. I remember. And I had them shot in my face and they also put them in your vagina. Yeah. Go listen to the episode with Dr. Amir. It's a long story. Dr. Ramir was like, I'm going to teach you how to do this vaginal procedure. And I'm always, like you said, you know, I'm a, I'm a lifelong,

I love that. The first time I met you, you met my vagina, not my face. So I was like, hi, Dr. B, nice to meet you. And then it was my vagina. It was like spread eagle. Yeah. It was like spread eagle. You poor thing. So it was so it was. So it was just had a baby. Thank God. I had a laughing gas. I'm glad. I had it for you. Yeah. Yeah. So I'm glad. I'm glad. I'm glad. I see it. The best ones are from the placenta too. Because you get a two for one. It's now starting. It's blowing up. Yeah. So I know I sound like. I know. Watch. Just wait guys. In going to be six months. People are going to be talking about exosomes. Okay. So I see it. The best ones are from the placenta too because you get a two for one being for one being for your. It's. And. So. So. I'm. So buck and they're actually the best exosomes. Because it's your DNA. Don't think I'm weird. You won't think I'm weird in six months. Okay, so I met you at that procedure. And that was like six months ago. And we did it at your office because Dr.

Amir didn't have an office here. Yeah. So when I met you, I looked at you and I thought, you're beautiful. You're so nice. And I thought, you know what? I want to give it a try here for a little bit of filler. I like a little filler on my lips and my temples and some Botox. So I went to see you and I was blown away about a couple things.

You're so meticulous. I told you you're so pristine with what you do. You don't overdo it. You don't try to sell me on something I don't need. In fact, I think you've walked me off certain cliffs. Yeah. And you spend, I mean, I've spent, you know, every time I've seen you ever, I've spent two hours. It's not a, don't, don't expect that.

Well, I'm also talking your ear off. So maybe it's like an hour. No, I love it when you come in. We do often have extra time. We're doing other things. Yes. And then you also understand that I have three rooms going. Right. Or four rooms going when, you know, so, you know, you might be there for two hours, but like, you're numbing while I'm doing this and then she's working on her computer. So it's like, you know, it's a party. But what you do that I like is that you set me up for success before and after. So before you put the numbing on, you have a laughing gas. If you want a dental block so you don't feel anything, they can like do a little whatever, Nova Kane, whatever that is. And then you afterwards, it's immediate sheet mask, red light. Exosome of sheet mask.

Exosome, like, she sets you up so I'm not walking out of there looking like horrendous. I also think the sheet mask is genius if you don't want to run into someone. And then you have, I just got beat up and nobody's going to see me. I never know where the hell she is or what's going on. And I like your practice so much that I ended up sending my best friend Gillian, my sister Mimi, and my stepmom, Julie, to you. And I just have been singing your praises since. And I just thought you had to come on the show because it was so refreshing to see someone who has had so many hours of teaching like you.

And you also teach other people. So you're just really good at your craft. Thanks. I love what we do. And I think it's my job to find new innovation, what's cutting edge. So like the exosome isn't new to me. So you know how you're like, oh, don't call me crazy. like, no, that's been around for years, you know? And I feel like my job as your provider is to offer

the best care possible, like in the entire world. So like if you went to Dubai, if you went to Turkey, if you went to anywhere, like, you're not going to get anything better than what I have to offer my office because I've already like gone there, seen it, ferret it out, tried it on me, read the science, did the clinical trials to make sure that it's the best because I, in general, have FOMO in life and I don't want to feel like that for my patient. Like I don't want anybody like for you to come into my office and say, do you have the best laser here? I absolutely have the best laser here because I couldn't stand it if I didn't, you know? Because that's, it's all, aesthetics is so innovative. It's such an exciting space to practice in because all of us want the best

results, the most natural results and the fastest recovery time. And all of us want the same thing. And we're all racing to get there. And I love to be part of the. this race. Is there anything in aesthetics that you don't believe in or think is kind of a gimmick or things like a waste of money? Oh, there's so much crap out there. That's a good question. What's a gimmick? What do you think is a waste of money that's become popular? Well, I, so, I think PRP is something that we did a long time ago. I did it as well. It's all we had at the time. The vampire blood facial. Yeah. I'm, you know, it's rather do exosomes micronealineal. Yeah, it's so much better, right? And now I was telling you about it yesterday, Spicules.

Spicules. Oh, yeah. Did we do that? No, no, because you were, you didn't want to, you were like. Well, it's just, can I get it from you? What do I do? Yeah. Can I just put it on at home? There's, there's the home version. I'd like to do the. You just let me sit with it. What do you do? So I'll do it. Actually, I'll do to you, Michael, next time we come. Okay. So, so, what does it do? What is it? So, this is really cool. So, I'm a baby with all this stuff. It doesn't. That's, that's, it doesn't hurt. So, usually to get, like, the exosomes and to get, like, the peptides and the peterine,

the layer that we really want it to be in in your skin. We've got to like microneedle or we have to break the skin in some because the skin protects us. Do you have to shave my face? No. Oh. No. So like I said, we usually break it with needles or lasers or whatever. And then we rub the peptides and the PDRN or whatever on top, right?

So you look great. So the skin looks glassy. And then we put all this nutrients in and then your body makes collagen and elastin. So now instead of me having a microneedle or lus, laser or anything, they have these like little spicules that are little silicone. They are like these microscopic like needles and it's like a serum and I rub it on your face and it makes these little little, I guess, breaks in the skin and then I rub the serum on your face. And what's nice is it has all this great peptides and vitamins like glutathione and it's all geo-tagged to go to the exact layer

that it works the most efficient. Avery who works with her said it feels like a St. Eve's, a St. Ives, yeah. Yeah, St. Ives, an apricot scrub. Like, it just feels like a scrub. I have no idea what that is. It's like nothing you would want to. It's like an exfoliator. It feels like an exfoliator.

But like you know how, like when you have like that. Wash your face? Yeah. Did you ever like do like an oatmeal bath or anything? Yeah. You did an oatmeal bath when you had that rash. I got a, yeah. I got a rash one.

I broke out in hives one time when I was in this. That's what the rash is. Yeah. So all you do is it's like scrubbing with oatmeal. I want to try it. It's literally, how long does it take? Two minutes? I'll do it. Two seconds. And then, yeah, two minutes. But yes, all of us, our skin looks, but it's like glass. I wish I did that yesterday. If we're going to do a laser or something like that, we want to do that first and then the Botox last because you don't want someone to lay down right after Botox. So you're correct. See? Look, you're practically a doctor. Let me tell you something. Yes. I feel like my second calling is aesthetic. Yeah. I do have an eye for aesthetic. Do I not? Yeah. No,

you totally do. Like, I can't look at a first time we did our consultation. You were very specific about, so what I like about Lauren is that she's very

specifically about what she likes and what she doesn't like. So she either loves something or hate something, which is really good, right? I'm very well aware. I don't have to tell you that. But she was very clear

about what she wanted and what she didn't want. And that was really helpful to me as a provider because I could envision what I was seeing and I could see what she was seeing. And I could see what she was seeing.

and then she was trying to tell me what she wanted. And it was very easy to go there because she was so clear. And, you know, it's very hard to get patients that really are clear about what they like and what they don't like. Because Lauren has had treatments and she has had the best of the best treat her. So she knows what she wants. She knows what she likes. But, you know, it's also fun to get the patient that doesn't. And then I kind of lead them in that direction.

But it is fun to have a very educated patient like on your level that I can be like, oh my God, we've got to try this new. It's so the, it's a hashtag glassifier. So it classifies your skin. I want to try it. Here's what I don't like. She knows the one who's tried it first. He tried it on his entire. She knows the bus.

So he's the one who drags me into all this crazy stuff because he's foreign and he loves all this crazy stuff outside the United States, you know? And he's like, oh, Barbarina, you got to try this. So he tried it first. And so he broke open the bottle. And it's a big bottle. And you have to use all of it at the same time because it loses. its efficacy if it stays out for more than 24 hours. So he put it all over his face, neck, chest,

in his entire body, and in the back of his hands. And so he's like, and you know how I know that it got underneath the skin? And I'm like how? And he's like, because I kept doing layer after layer after layer. You're only supposed to do one layer. And so he just kept, he's like, oh, I mean, there was so much. So I kept just doing it. And he's got to be. In there somewhere. So then he went to bed. Uh-oh. And he's like, and then my entire body started burning. And then he jumped to the shower. And he's like, I was scrubbing to wash. it off and he's like, and I couldn't wash it off. He's like, it was in there. It was deep within my skin. So it works. It works. I'm going to try it. I've tried it. It's great. The things that I don't like

when it comes to filler is I don't like monkey face. No. So monkey face is when it's filled way too much at the bottom of the face that the eye goes down. I don't like to, I don't like filler under the eye. I think it pushes the eye up. And I think like to your point earlier, there's ways to support the temple and the cheekbone without filling the under eye. You see sometimes with, you know, you know, you know, certain people, they'll fill under their eye and their eye look smaller. I like to enhance the eyes. I don't like Botox that drops the brow. And I like to like be able to have some movement. I don't want to be. So that's the big controversy like

what you were saying. It's like, you know, Botox, no Botox. You know, I think the division within our space is how much Botox, right? Because there's so many times that patients want to be frozen, completely frozen. And what they don't realize is that's not a good look. Well, I also think if you're, you're completely and utterly frozen, like that can be aging. Yes. Because it looks like you've had too much Botox. Yes.

I know. I need to do a post on that. Yes. Yes. What ages you? You have to be careful because there's subconsciously things that you can do where it's too much where it makes you look older. We did a show one time.

I forget exactly which episode we were talking about how perceptible, how much perception the human eye has recognizing facial features because it's how you had to evolve to understand people. Yeah. It's like you can notice the smallest change. Yeah. And if you freeze the face like that, like you've lost all expression. Totally.

And it also signals to the, like, it signals to someone like something's not right there. Yeah. This episode is sponsored by BetterHelp. You guys have heard us talk about BetterHelp for a long time. That's because we love this service. But I don't know that we've ever actually talked about how much people love this service when they use it. You can check it out for yourself at BetterHelp.com slash reviews to see amazing customer reviews in real time. And here's why. People are getting real results. They love this

service. I personally love this so much because we've interviewed so many people on this show that swear by therapy, online therapy. We have so many high performers that come on and talk about the benefits they've received by taking their mental health seriously and just talking through their issues and problems. This is why BetterHelp is such an incredible platform. But like I said, don't just take it from me. The reviews are updated every day with hundreds of people saying how much they love BetterHelp and how useful and helpful it's been for them. They also have an average live therapy session rating of 4.9 out of 5 based on over 1.7 million client session reviews. That's incredible. That's an incredible amount of feedback, incredible amount of

users, and the feedback from people who have actually used the service speaks volumes for itself. So if you've been thinking about therapy, give online therapy a try with BetterHelp. Like I said, we know so many high performers that swear by this. Lauren and I know that this tool is an incredible tool for anyone that's looking to talk about their ideas, get problems off their chest, kind of work through issues. And again, more than 6 million people have used Better Help globally. So clearly, it's a service that people trust. The consistent feedback from real users makes it easy to see why so many people continue to choose BetterHelp. So check them out, see the reviews, see what stands out, and see if BetterHelp is right for you. Visit BetterHelp.com

slash Skinny. That's BetterHELP.com slash Skinny. BetterHelp.com slash skinny. Let's talk about one of our favorite companies, especially when it comes to supplementation, protein, snacking, and that is Paleo Valley. Lauren and I love Paleo Valley. We've had the founder on the podcast multiple times because we love what she's doing with this company. Lauren and I are constantly on the lookout for healthy snacks, things to give to our children, things we can take for ourselves, and things that are going to make us feel good in general. We're obviously always checking the labels and looking at all these ingredients and talking about it on the show.

And here's the honest truth. It's really hard to find companies that are doing it right. This is why we love Paleo Valley so much because everything they're doing is with quality, with the right clean ingredients, and with the right intentions in place. They have this incredible chocolate bone broth protein that we take all. the time after workouts. We give it to our children. We take it ourselves. I think this is a perfect way to supplement and hit your protein goals for people that are struggling to meet theirs. The Paleo Valley chocolate bone broth protein tastes delicious. It's actually like a snack. Sometimes I have to find

myself not reaching for more of it because it's so good. Also, their beef sticks, they use fermenting so they're not using citric acid. They're not using poor ingredients. And they have a ton of really delicious flavors and all sorts of different beef and chicken and all sorts of different kinds. They also have this organ complex that is great for people that want to get organ meat in but are a little squeamish on actually eating the organ meat. This is going to come with all sorts of different minerals and vitamins, things for hair growth, for joint health, for overall health. It's like a massive multivitamin packed in one organ complex pill so that you don't have to actually eat the organ meats. So check them out. Head to paleovalley.com slash skinny or use code skinny at checkout for 20% off your first purchase.

That's paleovalley.com slash skinny or use code skinny at checkout. This episode is brought to you by Lauren Bostick for P-Volve. That's right. I have launched a kit with P-Volve. I designed every single aspect of this kit with the P-Volve team, and it is gorgeous, as you can see. We have 8-pound weights, 12-pound weights, 15-pound weights because I am so passionate about getting women to lift heavier. And this kit has heavy weights in it, and it also has everything you need for stability and mobility. So in this kit, you're really getting everything you could ever want when it comes to fitness. You're also getting access to my P-Volve trainer, Danny Coleman.

She also happens to be Jennifer Aniston's trainer. She's coached me along this P-Volve journey. P-Volve has been something that I keep going back to for the last seven years. I've had three babies, and it's helped me stay in shape and tighten and tone up. I love the founder, Rachel. I think she's an absolute genius. So when she came to me and wanted to create this custom kit for you guys, I was like, let's do it. It's limited addition.

It's gorgeous. It comes in the most beautiful box ever. And the best part is everything is built with intention. So PVov's core strength pillars are strength, mobility, and stability. And this kit hits all of them. This is product that you want out in your living room, in your office. It's aesthetically pleasing. It's gorgeous.

But most importantly, It works. If you want to shrink your body composition and change your life, start lifting heavy and implement stability and mobility. Lauren Bostic for P-Volve has all of the things. Like I said, this is a limited edition kit. It's called Strength Evolved, and once it's gone, it's gone. If you're looking for low impact but intense workouts, check out P-Volve.

Head to P-Volve.com slash Skinny and use code Skinny for 15% off site-wide or on class packs at a P-Volve studio near you. And definitely grab this kit, you guys. Because like I said, once it's gone, it's gone. Lauren Bostic for Peeball. Before you go, tell us three products that are 100% worth it. And it's funny because Yumi and Stacey Christy, who's my facialist in San Diego, have very similar product recommendations.

Oh my gosh. That's so hard. So like what skincare products? Uh-huh. But you really think are worth it. Okay. P. Tiacs by Skinscuticles. Agreed.

Well, we're right now. Yep. You are? Yep. Oh, my God. I love it. It's the one with the silver bottle, right? Yes.

And they have a new... Well, now they have the cream. Yeah, you got the cream. He's so spoiled. He's so spoiled. Yeah, I put that one on today. Oh, my God. I love it.

I know. He's into it. The cream, what I didn't realize when they first brought it to me was that the cream is better for younger skin and the serum is better for older skin. So what the hell one do I use? You want to use cream because it helps with poorer texture. Yeah. And you don't use both of them?

I use both of them. You can. You can. Okay, so peachy ox, we love. You know. Don't confuse me here because I get, I get them. So what do you use first? So you wash your face?

You know. Okay. Give it to us. Give it to us. Give it to us. I will talk about skinstiticals. I also use Caldera Labs. And then I also use Epicurin.

Epicurin. And hydranity. I don't know. Hydronity. Yeah. Awesome. Okay. Oh my God.

I brought hydrinity. Lauren. That's I'm obsessed. There's like if four, I switch it up depending on what's going on. But I like the do the vitamin C. Which one? Frily. That's the first one.

Hot dog water. Then I use the, the P-Tox. Then I use the H-A. Yeah. And then I use

the moisturizer four. Just four. And then sunscreen? I will sometimes. See, I'm going to be controversial on sunscreen

Because You hate it? No, I just don't wear a lot of sunscreen But I have this whole thing Which I'll go on a whole Rabbit tangent about

sunglasses and skin And tanning and not It's a whole thing. It's a whole thing. He does not like sunglasses. I don't not believe I believe that people burn because they wear sunglasses in the bright sun and they don't give their eyes the ability to teach their skin how to recognize that they need sun.

Like, I actually think, but I'm going to be wrong about this. People are going to think I'm a kook. I bet if you go through the correlation of the time sunglasses came out and the rise of skin cancer, I bet if someone digs into that, you will find a correlation. Because what happens is the brain, the eyeballs are a part of the brain and your eyeballs are supposed to signal to your brain when your skin is supposed to be able to either create sun protection or not. So if you put sunglasses on in the bright sun, what your eyes are telling your brain is that you don't need your skin to protect itself because you're in a dark place.

And I think that people, like, they go out and they wear sunglasses in the bright sun and they get burned. I was just on a trip, you know, I was in Italy for seven days. I didn't get burned one time and I just didn't wear sunglasses all the time. Now, some people say they can't handle it because like that's too bright. You shouldn't have issues looking outside in the bright with your sunglasses off unless it's extreme. Like you should be able to pick up a book and read it in the bright sun without it hurting your eyes. If you can't do that, then your eyes are not adjusted to the proper sunlight. That's a tangent. That is deep, man. Go look into it. People are going to go down the rabbit hole with me. You know what we should do a study. What people don't know about me is

on top of being fun and whatever. I'm just kidding. You teach. I write a lot of publications. Watch later go look at. Go because you're in this space and I'm not and people are going to say I'm crazy. It's like, you know, I'm ophthalmology. I'm acylology. I'm acylacology. I'm Plastics. Yeah, you guys should do a study. But you should go look into the eyes and the correlation with the sun and sunglasses and the rise of skin and see if there's any correlation. I bet. Interesting because like when we were going through residency at NYU, um, wearing sunglasses prevented, you know, uh, sudden damage to the eyes. And so that's why. To the eyes, yes, maybe, but here's the, but I see what you're saying. So you're saying that like the skin, the melanocytes

aren't turned on. Yes. So you're not, you know, the melanocytes are not turned on. Okay. So that's That's what I didn't know. The melanocytes are not turned on because your brain is being signaled that there's no reason for them to be on because you're in a dark thing. But the reason I figured this out is I was having such big eye issues and I talked to my friend. I was just struggling seeing my eyes were starting. And I my friend Andrew Huberman who also studies the eyes. Obviously people know his show Huberman Lab is a big show. He was like, hey, stop wearing sunglasses, look in the sun, looking far distances. And so I just stopped wearing sunglasses. And what happened during that time. And what happened during that time. is one, my eyes fully got fixed, and I don't need gloss or anything. And then two, I noticed I was tanning really nicely and not ever getting burned. And I'm like, that's weird because I used to get burned really easily. Now I don't. Interesting. It was just like a stumble upon. I've never heard this theory. People are going to say, Michael, you're crazy, but go look into it. Okay. So maybe you guys can do a study. So Ptiox is one product that's worth it. What else? I think the Alastin-en-enance post-procedure is like everything. Post-procedure.

Is that like post-micrneedling? Post-anything. Post-anything. It's so great. Okay. And then with Hydronity, H.A. Uh-huh. That's a good one.

It's a good one. Don't steal my hydranty. The H.A. The H.A. is something different. Yeah. Right. Is that different than the H.A. Is it all?

I love H.A. Intensifier. So it's so tough because I, skin suiticals, it's so scientific and such wonderful products. But hydrinity, if your skin is angry, red. Right. Totally. A rashy, pimple. It does something that calms down the skin.

Something about the H.A. You will meet Keith. We called Keith yesterday. We called Keith on Laughing Gas, the owner of Hygernity. The owner of Hygienerity. And his story is really funny. He is from Louisiana or something like that. And he took the alligator skin H.A.

And he was doing... Off alligator skin. Yeah. And he was developing for trauma and so recovery. post-trauma, post-burn, wounds, wound healing. That's what it was, the wound handling space. So that's what he was focused on, was wound healing. So he's developing his H.A.

specifically for wound healing. Then he himself got, like, thrown off an ATV, like, ripped off as to these days. I'm talking like he looked like family opera. He had 78 sutures in his face. Jesus, Christ. And so, of course, like, I'm talking to him at some restaurant or some dark, you know, steakhouse or something when I met him. And the next thing you know is I turn on my like flashlight of my phone and I'm like in his face on top of him like looking for all the scars and I couldn't see anything.

Wow. And I was like, that's why like hydrinity. Yes. Right. Because what the hyperchloric acid heals the skin. It's what H.A. stands for. No. No, the hypochloric acid.

She's two different than the hypochloric acid. Okay. What is the difference? But the brands like that's the same brand. He does a hyperchloric acid. He does. It's a great hydrochlor acid. I think it's the best one.

It is the sprayer is the best. Yes. It's like it micronizes. It doesn't, you know, my child, like, I can spray his face. And you know how like kids are like, like every time we spray them with anything? It's like, it just micronizes. Yeah, Zaza loves it. I can put it on my makeup.

It doesn't do anything. You know what I also like? I also like the abaji eye thing that I was showing you yesterday. You gave me that yesterday. That's a good one. Yeah. It's got copper and peptides and it has NAD. Okay.

If people want to train with you, I know you do teaching or they want to come to one-on-one trainings. One-on-one training if they want to train with you or they want to come see you in Austin. Yes. Share your Instagram. Tell us all the things. And I will tell you. It is fucking harder to get an appointment with you than it is. You get the, my goodness. I'm like, who do I have to blow to get an appointment with Dr. B?

She literally, I'm texting me. I'm jamming you. I book my appointment. Africa is a tough cooking. I have a feeling it might get a little harder after this is wrong. Guys, I'm going to tell you it's really hard to book with her. You always get the special treatment. Yes. So Barbarino's Surgical Arts.

Like you're going in the bar twice for a beer. It's like the worst pneumonic, but B.A.R. B.A.R. I.O. Surgical Arts. Follow me on Instagram. Come to our website. We'd love to see you in Austin or L.A. I love what I do. And I'd love to make you a better version of yourself.

Also, if you are someone who is an injector, I would highly recommend looking at your teacher training stuff. Yes. Great. I love that. Thank you. All right. So I'm going in. I'm going to get the thing. Oh, you want to go in now. I knew it.

We need to I got to start Mogging some people So I'm going to get Mug us Magus, Mog us I want to be mogged Mog away

Mog us every day Thanks Dr. B Thank you Thank you Thank you