Episode 591: Melissa Haloossim: Anti-Aging Treatments That Actually Work for Skin Tightening and Facial Aging

What if the biggest mistake you are making with your skin is following whatever treatment happens to be trending right now? Between lasers, injectables, devices, fillers, and endless skincare advice online, it is getting harder to tell what your skin actually needs and what could be a waste of money. We dive deeper into this in Habits & Hustle with Melissa Haloossim. We also chat about which anti-aging treatments are overhyped, why the person performing your treatment matters so much, and how filters and social media are changing the way people see their own faces. Melissa Haloossim is a nurse practitioner, founder of Skin Thesis, and has spent more than 20 years working in aesthetic medicine. Her approach is highly individualized, with a focus on choosing treatments based on the person, their skin, and the result they are actually trying to achieve. What's Discussed: (11:33) Why some skin-tightening treatments can destroy facial fat and make you look older. (15:05) The difference between lasers, radiofrequency, and ultrasound. (21:23) Why doing too much to your face can actually age you faster. (39:21) Why chasing trendy treatments is one of the biggest skincare mistakes after 40. (45:11) What actually ages your face the most. (57:46) What to prioritize when you are on a skincare budget. (1:05:47) Why retinol still matters for anti-aging. (1:06:41) Why filler does not actually lift your face. (1:09:44) Why Melissa calls XERF one of the most overrated treatments right now. (1:26:53) How filters are changing the way people see their own faces. Thank You to Our Sponsors! Magic Mind: Head over to magicmind.com/jen http://www.magicmind.com/jen and use code JEN at checkout. Momentous: Ready to try supplements that actually do what they claim? Head to livemomentous.com http://livemomentous.com and use code JEN for 35% off your first subscription. Therasage: Visit therasage.com http://therasage.com and use code JEN to get 15% off your order. Your skin Prolon: Prolon is offering listeners 30% off sitewide plus a $40 bonus gift when you subscribe to their 5-Day Program! Just visit prolonlife.com/JENNIFERCOHEN https://prolonlife.com/JENNIFERCOHEN and use code JENNIFERCOHEN to claim your discount and your bonus gift. Tru Niagen®: For supplements that are rigorously tested, third-party verified, and actually deliver what's on the label, head to truniagen.com http://truniagen.com Kion: Visit getkion.com/habits http://getkion.com/habits for 20% off Find more from Jen Cohen: Website: jennifercohen.com https://jennifercohen.com Instagram: @therealjencohen http://instagram.com/therealjencohen Books: jennifercohen.com/books https://jennifercohen.com/books Speaking: jennifercohen.com/speaking-engagements https://jennifercohen.com/speaking-engagements Find more from Melissa Haloossim & Skin Thesis: Website: skinthesisinc.com https://skinthesisinc.com/ Instagram: @melissah_np https://www.instagram.com/melissah_np/ Facebook: Skin Thesis https://www.facebook.com/skinthesisinc LinkedIn: Melissa Haloossim https://www.linkedin.com/in/melissa-haloossim-7172b4133/

Speaker names marked ? are inferred from speaking time and the show’s known hosts — they are not voice-verified.

• 0:01Speaker 00

  Hi guys, it's Tony Robbins. You're listening to Habits and Hustle. Crush it.

• 0:09Jen Cohen?

  Today, I'm talking to Melissa Haloossim. She's the founder of Skin Thesis and the woman some of the biggest names in Hollywood trust with their skin, including Hailey Bieber, Kim Kardashian, and Kylie Jenner. And in this episode, we basically break down skincare without the BS. There are so many lasers, devices, treatments, injectables, and anti-aging promises more than ever before. But what actually works? What's overhyped? And what could actually make your skin worse? Melissa breaks down the treatments worth your money, the mistakes people are making, and what really moves the needle when it comes to aging well. And of course, how to build a smarter approach to your skin. So if you're confused, like I am, about all the noise in beauty and

• 0:54Jen Cohen?

  skincare, this episode will clear a lot of that up. So stay tuned and let's dive in.

• 1:07Jen Cohen?

  All right, you guys, welcome to another episode of Habits and Hustle. I love the topic we're talking about today because it is about skin, health, beauty, aging, all the things. And we have someone who is top of their craft today. We have Melissa Haloossim.

• 1:25Speaker 00

  Yes.

• 1:26Jen Cohen?

  Okay, she's a nurse practitioner and the founder of Skin Thesis and the most sought I mean, she's gonna say I one of the most sought after people in Hollywood for getting your skin in tip-top shape. And so this is a big, a big treat to have her today. So thank you for being here.

• 1:44Speaker 00

  I'm so glad to be here. Thank you for having me.

• 1:45Jen Cohen?

  Oh, gosh, it's a pleasure. I've got so many questions because I think we're all I'm so we're all confused, right? Because social media has made it so difficult to know what is good, what is not good, what's good for aging, for anti-aging, for skin tightening. I have a million questions for you.

• 2:06Speaker 00

  It can get complicated. So I've been in the industry for 23 years, and I've watched it grow. And I've seen it evolve for the good and the bad.

• 2:15Jen Cohen?

  Okay.

• 2:15Speaker 00

  And I think I've evolved with it. And I think being a practitioner and a provider, you have to, and you have to kind of, you're going with the flow, you're figuring things out, but all along, you're learning. And so I learn something new every day, and I'm very aware of it. So as I've evolved, I have seen kind of like where my recommendations have changed as well.

• 2:43Jen Cohen?

  Right.

• 2:43Speaker 00

  And how I, you know, treat each patient differently. I'm not going to recommend something to you the same as, you know, your girlfriend.

• 2:53Jen Cohen?

  Oh, you don't, because it's all very customized.

• 2:56Speaker 00

  It is.

• 2:56Jen Cohen?

  Yeah.

• 2:57Speaker 00

  And I think the consultation is the best time where my mind starts working and figuring out, okay, where am I going to go with this for that patient?

• 3:07Jen Cohen?

  Right. So like, what would be, what was trendy, like even 10 years ago, that you would not even think of doing today?

• 3:14Speaker 00

  I don't know if there was something specific, but I, there's always a trends on machines.

• 3:19Jen Cohen?

  Yes.

• 3:19Speaker 00

  And there's trends on.

• 3:22Jen Cohen?

  Like devices, like lasers.

• 3:23Speaker 00

  Or they'll call it like the vampire facial, or they'll call, you know, certain devices I would not touch.

• 3:29Jen Cohen?

  Like what? Tell us.

• 3:30Speaker 00

  I actually tried, and this isn't like, you know.

• 3:33Jen Cohen?

  Yeah.

• 3:33Speaker 00

  I don't want to harm the, the industry of like, you know, the device industry. But I tried Othera back in the day. And I tried it when it first came out, and I was completely turned off. And I said, okay, I waited and waited. And then I tried it again. And I was like, no, I, this is not, this is not the right device. When I recently went to Korea, it is still huge in Korea, and I realized that their skin type is completely different than ours. They've got thicker skin, they can handle it, they can tolerate it. It's a stronger device, it can go pretty deep. But if I did it now, at my age, it actually would harm me because it would destroy fat, and I'm trying to keep fat in my face.

• 4:15Jen Cohen?

  Yes. So what, because all this about like, I remember even a few years ago, the Morpheus 8 was like the most popular thing on the planet.

• 4:23Speaker 00

  Mm hmm.

• 4:24Jen Cohen?

  And then, like, the pendulum swung a little, and they're like, well, no, actually, because if it's, if you go too deep, it, it basically burns your fat off your, like, not burns, but it, it basically.

• 4:34Speaker 00

  It can, it can go too deep for some people. So here's the harsh reality of the, you know, the industry. When, when the pendulum is here and it's going great, you're, you're on top of your game.

• 4:48Jen Cohen?

  Yeah.

• 4:48Speaker 00

  And if it goes the other way, it destroys them. And I actually still have a Morpheus. I still use the Morpheus. But there's a certain skin type I use it on. I love it for body as well. And if someone, it just depends on who's coming in, and if I'm going to recommend it. It's also based on how that person is performing it. And you can go pretty deep and then cause harm. And I think that's where we get into trouble in this industry, because, let's face it, there's med spas, like on every corner now, and it's like a 7-Eleven.

• 5:20Jen Cohen?

  It is.

• 5:20Speaker 00

  So people are going to the place that maybe could be cheaper, and not to, you know, bad mouth like that provider, but how much are they trained? How well do they know these devices? Because when it comes down to devices, it's all about physics. It truly is. And my kids hate physics. I'm like, you know what? Let me tell you something and kind of put it in reality. And it's where it's how it's penetrating into the skin, where it's going to this, how long it's, the penetration is in the skin. And that makes a huge difference. It's the mechanism of action of how it's doing it.

• 5:53Jen Cohen?

  So then the practitioner piece, like, it's, that's why it's so important to, it is, it's more important sometimes to go to the right person than the actual machine, right?

• 6:03Speaker 00

  Yes.

• 6:04Jen Cohen?

  Because you can go, do you remember like Groupon back when? Do they, do they even have Groupon?

• 6:08Speaker 00

  I don't even know if they still have it.

• 6:09Jen Cohen?

  Yeah, I don't know if it's like, if it exists anymore. But Groupon's kind of like ClassPass, have a ClassPass, I don't know, Groupon's like a cheap version, you can get these things for like 90% off. And like, you know, the problem is, if you have somebody who's not, who doesn't know what they're doing, not trained, it could be extremely detrimental.

• 6:27Speaker 00

  Yes.

• 6:27Jen Cohen?

  And that one that you said, the alter?

• 6:30Speaker 00

  The Othera.

• 6:31Jen Cohen?

  Othera.

• 6:31Speaker 00

  Yeah.

• 6:32Jen Cohen?

  I remember, I heard that's like, super, super severe.

• 6:36Speaker 00

  Yeah, it's intense.

• 6:37Jen Cohen?

  And what does it do? What is it?

• 6:38Speaker 00

  It is, it's also ultrasound.

• 6:40Jen Cohen?

  Okay, it's also ultrasound.

• 6:41Speaker 00

  And there's other, I have an ultrasound device. I have Softwave.

• 6:44Jen Cohen?

  Yeah, that's one that you did on me.

• 6:45Speaker 00

  Yes.

• 6:45Jen Cohen?

  Okay.

• 6:46Speaker 00

  And for years, I was looking for an ultrasound device, and I just kept passing. And so when I found Softwave, that's when I was like, okay, this is it. I'm, now I'm going to bring this type of device in my practice. But Othera, it just, the level that it can go to can be too much for a certain skin type.

• 7:04Jen Cohen?

  So what's that? Okay, so what's that really popular one that everyone's talking about out of Korea? They saw like Kim.

• 7:10Speaker 00

  Zerf.

• 7:10Jen Cohen?

  Zerf.

• 7:10Speaker 00

  Yeah.

• 7:11Jen Cohen?

  Yes. Okay. So what is the deal with the zerf? Is it what people, should I be doing zerf?

• 7:15Speaker 00

  Okay, so zerf is radio frequency.

• 7:17Jen Cohen?

  Okay. Is radio frequency and ultrasound different?

• 7:21Speaker 00

  They are.

• 7:21Jen Cohen?

  Okay, so can we start with that? Like, what's, because we hear like, this one's radio frequency, this one's ultrasound.

• 7:26Speaker 00

  Let's go back to laser 101 basics.

• 7:28Jen Cohen?

  Please do. Okay.

• 7:29Speaker 00

  So we categorize these all as lasers, and they're not lasers. A laser is actually a true beam.

• 7:37Jen Cohen?

  Okay.

• 7:37Speaker 00

  So I do have lasers. I have a YAG laser, where you're, you're seeing a beam go right into the skin. And it can go into the skin, you know, different layers of the skin. It can do damage, it can be ablative, it could be non-ablative. Then we go into different categories. We go into radio frequency, and we also go into ultrasound. There's also now erbium and like CO2. So there's all these different type of devices, and there's many companies that make each of these devices, multiple. So I have collected all these machines, and I've handpicked which ones I've brought in. But depending on someone's concern, then

• 8:18Speaker 00

  I'm going to pick up my tool, which device am I going to use? And that might mean multiple devices. And I think using multiple devices and hitting different layers of the skin, you're going to get a better outcome. So going back to zerf.

• 8:32Jen Cohen?

  Zerf.

• 8:32Speaker 00

  Is a radio frequency. I actually went to Korea, and I tried the zerf, I tried Everest and density. They're all radio frequency, monopolar. And monopolar just basically means it's going in, you need a grounding pad on for it to exit the body. So then there's some bipolar radio frequencies as well. But all those devices are monopolar. So it's going into the skin, and it's going into, it's kind of scattered. But it's a little bit more precise when you have it as monopolar, and it's going out to the grounder. Now, I wanted to see, okay, what are the differences between these devices? And believe it or not, and

• 9:12Speaker 00

  again, this is not a ding to zerf, I actually chose Everest over zerf. And so I don't go with the trend. I don't go, okay, well, I could have, I could have purchased any machine that I wanted to. But I chose Everest because of their technology and how they put different, different things into their system. For example, you have to have a cooling system, and the zerf uses cryo to cool. And so when it's doing it, you're hearing that ch ch ch, and while the pulse is going, so it's disrupting the pulse. Whereas Everest has cooling in the handheld, so there's a constant cooling and a vibration.

• 9:50Jen Cohen?

  Okay.

• 9:50Speaker 00

  They also had more research on human tissue rather than animal tissue.

• 9:54Jen Cohen?

  Hmm, that's a big one.

• 9:55Speaker 00

  So I chose Everest. And again, I'm not saying zerf isn't good. I'm not saying that it, they don't have great effects. But I wanted to choose something that had a little bit more research and had more consistency in it.

• 10:07Jen Cohen?

  Is it the same price?

• 10:09Speaker 00

  Same price.

• 10:10Jen Cohen?

  So why wouldn't more, like, why is it not, like, why is it not talked about then?

• 10:14Speaker 00

  People are, you're, you're hearing more. If you go on social media, you'll, you'll see Everest as well.

• 10:19Jen Cohen?

  Okay.

• 10:20Speaker 00

  Um, you know, we, there was one post that made it viral, and I completely understand.

• 10:26Jen Cohen?

  The Everest one?

• 10:27Speaker 00

  No, the zerf.

• 10:27Jen Cohen?

  Oh, zerf, of course, because Kim Kardashian was like, talking about it. But she's your client, isn't she? So what would you, who did the zerf on her? Some other person?

• 10:35Speaker 00

  I don't know. I mean, I can't, you know, I can't, you know, mention that. And I think that it's not, you know, harmful. But I just went with the, I felt the better technology.

• 10:47Jen Cohen?

  Does it have, like, are all these things, like any device, like Everest, or do you need to do them multiple times to have any result? Because?

• 10:55Speaker 00

  You, you do, there, you know, it's all about how your collagen is regenerating. And so as it's regenerating, you hit it again. And so you're getting that kind of curve up. So you are going to have a better effect when you are doing it about two times. But you do see a change after the first.

• 11:13Jen Cohen?

  You do. Cause I did the soft, am I doing the Everest with you?

• 11:17Speaker 00

  You are.

• 11:17Jen Cohen?

  I am, I can't wait. Okay, when is that? Because I, listen, every, it's a known thing. I know nothing about skin. I just like, I couldn't, I basically will show up to your place, like I did and got the soft wave. By the way, it didn't even hurt that badly. I was shocked.

• 11:32Speaker 00

  It's, it's different for everyone. About eighty percent of people have no issues with it. And then twenty percent think it really hurts.

• 11:38Jen Cohen?

  Really?

• 11:39Speaker 00

  Everyone's pain tolerances, I, I try to warn them and kind of give them that.

• 11:43Jen Cohen?

  Yeah.

• 11:43Speaker 00

  You know, ratio. And I'll, I'll see what happens and just try to make it more comfortable if they are uncomfortable with it. But like someone like you, you haven't done anything.

• 11:52Jen Cohen?

  No.

• 11:53Speaker 00

  And you look fabulous.

• 11:54Jen Cohen?

  Oh, God, thank you. Not as fabulous as you.

• 11:56Speaker 00

  But it's not gonna be, I'm sure you even thought like, hmm, is it doing something? I don't know if it's doing anything. But it's a process. Because we did it, we're, we've woken up some cells, we're regenerating some of your collagen. And it takes time, it can take up to two months. And during this process, we're gonna do something again and again. And we're gonna get it fine to the level where you're happy and then you maintain. It's just like working out.

• 12:20Jen Cohen?

  Right. You said something to me, scaffolding, right? Like rebuilding the scaffolding of the skin.

• 12:24Speaker 00

  Yes.

• 12:25Jen Cohen?

  Cause I remember when I got the soft wave, so many people were asking me like, so, do you see, what, what do you think? I'm like, I don't know. I can't tell.

• 12:33Speaker 00

  Yeah.

• 12:33Jen Cohen?

  You know, cause you, it takes a while, a while to build the collagen and like to do other things.

• 12:38Speaker 00

  Some people can see something right away. Everyone's gonna respond differently, right? How fast are you gonna build muscle?

• 12:43Jen Cohen?

  Right, exactly.

• 12:44Speaker 00

  So.

• 12:45Jen Cohen?

  Great analogy.

• 12:46Speaker 00

  Yeah, I have, I have some people that are like, oh my God, and, and I see a huge difference right away. It, it's just different response.

• 12:52Jen Cohen?

  Right, right.

• 12:53Speaker 00

  But we have to kind of build, someone like you who is lean. And you don't have a lot of, you know, fat content on your body. And, and as we're getting older, we're leaning out on our faces, so we have to build it in a very natural way.

• 13:07Jen Cohen?

  That's what's hard, actually. You're right. That's why I'm so concerned about doing a lot of these things with people who don't know what they're doing. Because if I don't want my, any fat I have in my face, I wanna preserve.

• 13:18Speaker 00

  Yeah.

• 13:19Jen Cohen?

  Cause if you lose that fat, you look old.

• 13:22Speaker 00

  Yes, yes. And when you, and when you do too much, you look old.

• 13:26Jen Cohen?

  Oh, that's, that lead, that's a great segue. Because my, my, one of my questions is, if you can only do three things for your skin after forty, what would they be?

• 13:35Speaker 00

  Oh, that's a hard one. Well, I one hundred percent believe in devices. So doing the devices on a deeper level. And I think nourishing the skin, because our, our, the exterior of our skin changes so much through hormones. Um, and I feel like every five years, I've seen a difference in myself. And what I wanna do to go back to like, okay, I'm gonna take care of my skin right now. It's different each of those like five year segments.

• 14:04Jen Cohen?

  Yeah.

• 14:05Speaker 00

  And I think it really depends on the person of, you know, what's going on with them. Some people are having laxity, some people are having texture issues. So that's where I'd have a hard time picking. It, it'd be kind of from person to person.

• 14:22Jen Cohen?

  But overall, would you say, okay, doing a laser of some kind? What is your take on chemical peels?

• 14:30Speaker 00

  I think it's when it's necessary, cause I'll be honest, I have not done a chemical peel. I've done very light ones.

• 14:36Jen Cohen?

  Right.

• 14:37Speaker 00

  I, I don't need it.

• 14:39Jen Cohen?

  So would you, do you do them at your place or no?

• 14:41Speaker 00

  I do.

• 14:41Jen Cohen?

  You do?

• 14:42Speaker 00

  Last week I had a consult and one day there were four people back to back. I was like, we need to start off with a chemical peel. We need to clean you up. Um, they, they were a little younger. They were just struggling with kind of like bumps all over their face and irritation and there's like, you know. Obviously, they have to work on internal gut, I think is a big one. But I was like, let's clean you up. We need to clean slate you and do a chemical peel.

• 15:07Jen Cohen?

  So like, so, cause I just saw this whole thing about how over time, chemical peels can really ruin your skin. It makes it like very.

• 15:16Speaker 00

  Thin.

• 15:17Jen Cohen?

  Thin.

• 15:17Speaker 00

  Yeah, so there's some people who are thinning skin.

• 15:19Jen Cohen?

  Yeah.

• 15:20Speaker 00

  The chemical peel that I'm talking about is a medium peel and doing it one time is not gonna do anything. Like, let's, let's talk about CO2.

• 15:28Jen Cohen?

  Yeah, that, okay, so that was my question, the CO2 lasers.

• 15:30Speaker 00

  Can be a, an ablative laser. You can make it light, medium, or intense.

• 15:36Jen Cohen?

  Cause there's levels, right?

• 15:37Speaker 00

  There's levels.

• 15:38Jen Cohen?

  So what's the first level? Like, I got one of the CO2s a few years ago. Level six, which is basically a nothing.

• 15:44Speaker 00

  It's like a light.

• 15:45Jen Cohen?

  It was basically like an exfoliator, like a Saint Eves exfoli, it was nothing. I wasn't even red after. I have a friend who went to get a CO2 and she looked like.

• 15:55Speaker 00

  A burn victim.

• 15:56Jen Cohen?

  Victim. I couldn't look at her. I said, I can't, you, you cannot leave the house. You will scare children. Like, you cannot leave the house.

• 16:02Speaker 00

  Yes.

• 16:02Jen Cohen?

  She wasn't able to leave the house for like two and a half weeks.

• 16:05Speaker 00

  Yeah, so there's also fractional. There's a difference between fractional and non fractional.

• 16:10Jen Cohen?

  In the CO2 family?

• 16:11Speaker 00

  CO2 family as well.

• 16:13Jen Cohen?

  The whole CO2 thing. Honestly, like, I mean, I need to have like a whiteboard here, cause it's very complicated.

• 16:18Speaker 00

  Yeah, there's actually a great slide. Uh, maybe I'll send it to you.

• 16:22Jen Cohen?

  Could you?

• 16:23Speaker 00

  Yeah, because, and it shows like all the depths of where the laser is penetrating into the skin. And it's like, it is, it's lasers one oh one.

• 16:31Jen Cohen?

  Oh, it's unbelievable.

• 16:33Speaker 00

  So think of CO2 more superficially, but it's putting heat into the skin.

• 16:37Jen Cohen?

  Okay.

• 16:37Speaker 00

  So that's where it really works on the creepiness of the tissue. And you, you're not getting like a lift and tightening, but because you're, think of Saran Wrap and it's just going shh. And tightening up superficially. And that's where sometimes you'll even see improvement in someone who has like jowls. It's not tight lifting it, but it's taking that skin and kind of shrinking it and tightening it um, on the superficial level. So it can work on the creepiness, the fine lines, going more ablative pigmentation. But when you're going light, you're not gonna do that much with the, the pigmentation. You're just gonna work on the skin quality.

• 17:18Speaker 00

  You would not be doing a CO2 ablative yearly. That, then you're thinning the skin.

• 17:25Jen Cohen?

  But do you think that they're, how about, is it even worthwhile to do a mild CO2?

• 17:30Speaker 00

  If you're doing multiple. You have to do multiple.

• 17:32Jen Cohen?

  Like, how many is multiple?

• 17:33Speaker 00

  Three to four, and you'll see a difference.

• 17:35Jen Cohen?

  Over how much time?

• 17:36Speaker 00

  I like to do it a month, month and a half apart, you know? I'll do like one CO2 light about once every six months. And because my skin is thinning, I see a difference when I do it, cause it just kind of does that superficial tightening.

• 17:51Jen Cohen?

  And how long does it last for?

• 17:52Speaker 00

  It's a permanent, everyone always asks me this, like, okay, well, how long does it last? All of these are permanent, if you wanna say. But we're continuing to aging every day. So again, I always say it's like working out, like you can't just go lift and then you're not, you're stopping.

• 18:08Jen Cohen?

  Right.

• 18:08Speaker 00

  You're working at this and, and everyone's level is gonna be different. I don't, I don't like overwhelming people and, and make it like. Okay, you have to come in here every month, you have to do these ten things. Everything I suggest, you're gonna get multiple benefits. But don't overwhelm yourself.

• 18:25Jen Cohen?

  So, okay, so, so that's like one, so you, you can't really say, so basically you don't know how long it's gonna last, more or less. Because it could be for one person different than the other, and because we are still aging, it changes, basically, right? Okay, so that's the, but explain the CO, so in the CO2 family, why did it, why did it have such a, like such a. Like, it became so popular and so trendy, like that people thought that was like the be all and end all. Like, who's creating these trends? Is it just the celebrities who are just doing them?

• 18:54Speaker 00

  If you remember, CO2 is kind of like the OG of lasers. It was, it was in the eighties. And we would blast people's face, it'd be red for two months. And then they would have these, this demarcation, cause of like where the laser stopped and the difference of what it looked like. Now, as the technology has improved, we've been able to kind of adjust the settings, going to the light, to the medium, to the strong. Um, depending on what the person needs.

• 19:22Jen Cohen?

  Okay, well, how about microneedling? Everyone says like that is the panacea.

• 19:26Speaker 00

  Yeah.

• 19:26Jen Cohen?

  Is that true?

• 19:27Speaker 00

  I, I, it's, it's funny. I'm not a huge microneedler person.

• 19:30Jen Cohen?

  Really?

• 19:30Speaker 00

  Yeah, I think it's great. I think it is a more superficial, but again, it really depends on the person. My husband's Persian.

• 19:37Jen Cohen?

  Yeah.

• 19:38Speaker 00

  A lot of Persians have porous skin. It's amazing for them.

• 19:41Jen Cohen?

  Really?

• 19:41Speaker 00

  Yeah.

• 19:42Jen Cohen?

  How about people like me, my skin?

• 19:43Speaker 00

  I, so that would not be the one, number one treatment I would recommend.

• 19:46Jen Cohen?

  Okay, why?

• 19:47Speaker 00

  Because you, you don't have that like too poor skin, you know, and what I've seen from you, I think we wanna work more on tone.

• 19:54Jen Cohen?

  Yeah.

• 19:54Speaker 00

  Kind of bringing more bounce back to the skin.

• 19:57Jen Cohen?

  Right.

• 19:57Speaker 00

  And reviving it. And I think you would get, I would rather you spend your money more on these other devices. If I have all these things.

• 20:04Jen Cohen?

  Yeah.

• 20:05Speaker 00

  Right, that to pick from.

• 20:06Jen Cohen?

  So microneedling?

• 20:07Speaker 00

  I, I, that would not be my one to go for, for you.

• 20:10Jen Cohen?

  Okay, I have a few other questions, then I'm gonna get into the more gen- generic, general ones. But what about facials regularly? Do you think they're important? Because there are people who think they are important, some people think they're not important and just to do the lasers.

• 20:22Speaker 00

  So again, it depends on the person. I'm sorry.

• 20:25Jen Cohen?

  I know, God, this is gonna be so like redundant, okay?

• 20:28Speaker 00

  I know, but I do think they are. I think, you know, some of my, my patients. You know, they rather put the money towards devices and then they kind of forget about facials. And I think it's a great nurturing to the skin. For someone like me, where I don't get a lot of breakouts, or I didn't, I don't get clogged easily.

• 20:48Jen Cohen?

  Yeah.

• 20:49Speaker 00

  For I need more hydration, you know? Someone like you, you need the hydration.

• 20:54Jen Cohen?

  Yeah.

• 20:54Speaker 00

  And, and it'd be great for your downtime.

• 20:57Jen Cohen?

  So you think I should get facials?

• 20:58Speaker 00

  Yes, I actually think it'd be great for your wellness. You're extremely busy. It's, you would actually lay down for an hour.

• 21:05Jen Cohen?

  Yeah.

• 21:06Speaker 00

  And not pick up your phone.

• 21:07Jen Cohen?

  Yeah.

• 21:07Speaker 00

  Even my, my lasers, I have people picking up their phone. I'm like, pick down, you know?

• 21:12Jen Cohen?

  Exactly.

• 21:13Speaker 00

  So I turn that more into a wellness.

• 21:16Jen Cohen?

  So it doesn't make it like I have this my hair, my hairstylist dresser. She has like, she's like seventy two and she's she's forty and she's, I think it's genetics personally, but she swears by this facialist person. Oh, we talked about it and I went to her. She she was going religiously for like forty years to this woman. What was her name again? You know?

• 21:37Speaker 00

  I don't I I don't remember the name.

• 21:39Jen Cohen?

  Anyway, she doesn't, she's not fancy. She doesn't use all the red lights and the blue lights and the wands. It's literally, she's like scrubs your face with like a hundred different scrubbers, I guess. And she swears by it. She says because of that, that that her skin looks as good. Like, how much of this is genetic? Be honest.

• 21:56Speaker 00

  I I do think a lot of it is genetics. I do. But I also can see, because I've been in the industry and you go to like, uh, you know, a reunion, and you see there's your your your age and you're like, you didn't really take care of yourself.

• 22:11Jen Cohen?

  Right, right, right.

• 22:12Speaker 00

  And whether it's the face or the body.

• 22:14Jen Cohen?

  It's true. But but there are people, though genetically, like, my mom had great skin. She didn't, she never did anything. You know, other people, like, they do a thousand things and they look at their a hundred and five. So I mean, there is something to be said for like habits, genetics, all those things.

• 22:32Speaker 00

  I one hundred percent agree.

• 22:33Jen Cohen?

  What do you think, like habitually, people should do to improve their skin? Is there supplements that they can take? Is there like some kind of like nightly routine they can do, like just to get their skin healthier?

• 22:45Speaker 00

  So I'm not a ten step person.

• 22:47Jen Cohen?

  Yeah.

• 22:47Speaker 00

  And I like to assess their skin to see like, okay, is it dehydrated? You know, are they having pigmentation issues? You know, I tell some people who are, I'm like, you need to be on something always. That should be just part of your regimen. Like a pigment suppressor, especially if they're prone to it.

• 23:06Jen Cohen?

  Oh, really? There's a pigment suppressor?

• 23:07Speaker 00

  Yeah. Yeah. And it doesn't have to be a hydroquinone or prescription grade, but there's different ingredients, like, you know.

• 23:14Jen Cohen?

  Like a hydrochlor?

• 23:14Speaker 00

  Like, no, no, kogic acid, even like some licorice or, you know, different complex, you know, uh, compounds in a product that are going to brighten up your skin, but also suppress the pigmentation. And so I think people who have pigmentation issues should always be on something like that. I do think putting something on in the morning prior to your makeup or your sunscreen is important to keep it hydrated for the day. And then at night, I use growth factors, um, and like a hydrator. You know, because I think when you are, you know, sleeping, to have it fully penetrate. And I don't wash my face in the morning.

• 23:55Jen Cohen?

  Yeah, really? I love that. So you just wash it once a day?

• 23:58Speaker 00

  Yeah.

• 23:59Jen Cohen?

  So what do you wash your face with at night? Like, what's your, what kind of products are you using?

• 24:03Speaker 00

  So I use just like a gentle cleanser right now. Yeah, I mean, no, there are specific ones. I I created my own cleanser, um, and but I I did mention to you before that my all my product burned. Um, so I right now, yeah, so right now I'm using, um, Skin Better's cleanser. So it's just like a gel cleanser. Then I use TNS by Skin Medica.

• 24:27Jen Cohen?

  That's a good one.

• 24:28Speaker 00

  Cause it has growth factors. So it's very healing. So it's without putting hydration, you're putting, you're healing it. And when you heal it, then you're not going to be as dry. Uh, and then if I am dry, I'll use a hydration, more like a hyaluronic acid. Cause if I use like a heavy moisturizer, um, then I start to kind of get clogged and get little pustules.

• 24:48Jen Cohen?

  You use the hyaluronic acid after you put the TNS?

• 24:52Speaker 00

  You always put your growth factors on first.

• 24:54Jen Cohen?

  Really? I'm using, have you heard of Young Goose?

• 24:58Speaker 00

  I have heard of them.

• 24:58Jen Cohen?

  Okay, they they, I'm using their thing called exosomes on my face. Have you done that?

• 25:04Speaker 00

  Yeah, you know, I would love to learn a little bit more because the exosomes that I've always used in clinic are like a live exosome and after a period of time, they're not active. So I'm not sure what they're using, but there's a lot of great brands, um, that that have now formulated it and people are really liking it. So again, changing.

• 25:27Jen Cohen?

  Changing. What about copper? Like, everyone's up into this copper peptide for your skin.

• 25:33Speaker 00

  Copper has been around a long time and it's coming back. Yeah.

• 25:36Jen Cohen?

  Wow, okay, because I feel like whenever I ask anybody, like, I have a few of these girls who are actresses who I'm friends with and I'm like, oh, your your skin looks amazing. And they're like, yeah, I've been using this copper peptide, blah, blah, blah, blah, blah. And then.

• 25:51Speaker 00

  Which is very healing.

• 25:52Jen Cohen?

  Which is, does it do anything? Or is it because they're doing ninety seven other things too? That's the thing, right? When you do a million things, you don't know what's actually working.

• 26:01Speaker 00

  Right, right. You're kind of throwing everything at it, which is fine. And, you know, your skin's tolerating, great. We do peptides as well, so we'll do a peptide that has, you know, anti-inflammatory and putting copper in it as well, you know, like a BPC with a, you know, the copper.

• 26:18Jen Cohen?

  What about just topically? Can you put copper on your face?

• 26:20Speaker 00

  You can, but yes, they have certain, you know, products that have copper. We'll use copper ingredients when we're doing like microneedling or some type of opening up the little micro channel. So then the ingredient goes into the skin. I were trying a lot of different things. More and more are coming out. For example, when I was in Korea, I tried a combination of polylactic and HA.

• 26:45Jen Cohen?

  What's that?

• 26:46Speaker 00

  Which is so polylactic, we have a polylactic, Sculptra, which is a bio-stimulator. So in Korea, they have that in combination with HA, which is in powder form, not in like you're taking a syringe and mixing another syringe together. So you put, you know, saline in it and we're now using it topically as well. And in Korea, they inject it, but it's just not FDA approved yet to inject here.

• 27:09Jen Cohen?

  And so it's basically copper on your face, basically?

• 27:13Speaker 00

  No, this is something different. I'm just saying like, there's so many, I'm just saying there's so many different things coming out.

• 27:17Jen Cohen?

  What was the thing that you just said, though?

• 27:19Speaker 00

  Polylactic, yeah.

• 27:20Jen Cohen?

  And what is that?

• 27:22Speaker 00

  So it's a bio-stimulator.

• 27:23Jen Cohen?

  Like a Sculptra?

• 27:24Speaker 00

  It's, yes. Sculptra has polylactic in it.

• 27:27Jen Cohen?

  What's the difference between Sculptra and the thing that you just said?

• 27:29Speaker 00

  Well, it's just the ingredients are the same, it's just a different product. And basically, it's supposed to activate your own collagen, stimulating your own collagen to regenerate it. And on a superficial level, what we can use now in the States topically. But in Korea, they're injecting both HA and the Sculptra together.

• 27:48Jen Cohen?

  Would you say, do you think that's good?

• 27:50Speaker 00

  I do. I actually tried it there. It was great.

• 27:52Jen Cohen?

  It was great? Is it gonna, so because it's not FDA approved or not?

• 27:56Speaker 00

  Yeah.

• 27:56Jen Cohen?

  Yeah, okay.

• 27:57Speaker 00

  Couple of years.

• 27:58Jen Cohen?

  Yeah. So what's the, what's the alternative to doing something like that here? What would you do to kind of get that same result?

• 28:05Speaker 00

  The Sculptra injections.

• 28:06Jen Cohen?

  And that works?

• 28:07Speaker 00

  It does.

• 28:08Jen Cohen?

  Because, okay, so, so is it now the new trend? That people are not getting filler and they're getting Sculptra instead?

• 28:17Speaker 00

  People are still getting filler. I I think filler, you know, I still like filler and I do, I do. And I've always liked it. And again, just like everything else, when we're talking about Morpheus.

• 28:28Jen Cohen?

  Yeah.

• 28:28Speaker 00

  How we're injecting it, where we're injecting it, how much we're putting in. And this is coming from someone that I one hundred percent believe in surgery. And I

• 28:38Jen Cohen?

  You do.

• 28:38Speaker 00

  I do, I do. So I'm not trying to prevent you from having surgery or do something that is going to prevent you from having surgery. I'm on your side there.

• 28:47Jen Cohen?

  Right.

• 28:48Speaker 00

  So I just feel that everything is in moderation.

• 28:52Jen Cohen?

  Okay.

• 28:53Speaker 00

  And what else can give you a certain volume where you have like a divot or you have nothing? Even if you want to go do fat transfer, fat transfer, it's gonna go away, it's not precise. So again, it's picking the right product, the right area, what you're doing with it. It's just gotten a bad rep. Now, Sculptra's been around for a long time. It was in the eighties, you know, where

• 29:15Jen Cohen?

  People were using it in the eighties?

• 29:16Speaker 00

  It was the, you know, AIDS victims and they were so gaunt. And they needed a product to regenerate. So it's been around for a really long time. How we inject it, how we mix it is totally different. And there can be complications with it, just like with, you know, fillers. So again, it's evolved.

• 29:37Jen Cohen?

  How did, what's the complication for it?

• 29:39Speaker 00

  Uh, nodules, um, getting like nodules in the skin. So now, um, how we inject it more superficially, how we mix it, how we're drawing it up, all of these things have changed.

• 29:52Jen Cohen?

  So how, if you get Sculptra, though, do you have, is it the same thing that you have to get it again, like a couple of times?

• 29:57Speaker 00

  Yes.

• 29:58Jen Cohen?

  How many times you need to get it?

• 29:59Speaker 00

  You typically, it it depends on how much that person needs of regeneration. But if you want to think about it, it's like one vial per decade.

• 30:07Jen Cohen?

  Oh, really?

• 30:08Speaker 00

  Yeah.

• 30:08Jen Cohen?

  Okay, that's not crazy.

• 30:10Speaker 00

  So

• 30:10Jen Cohen?

  I thought you were gonna say like every year.

• 30:12Speaker 00

  But you should know, it actually should be every year.

• 30:15Jen Cohen?

  Oh.

• 30:15Speaker 00

  It should be once a year. But how much are you putting in that year?

• 30:19Jen Cohen?

  I don't know.

• 30:19Speaker 00

  Yeah, so that's what I'm saying. It's usually one vial per decade of like, meaning if you're forty, then you probably need four vials.

• 30:27Jen Cohen?

  Oh, that's what you're saying.

• 30:29Speaker 00

  Uh huh.

• 30:30Jen Cohen?

  Oh geez, so, oh my god.

• 30:33Speaker 00

  Now, I don't go by that rule. I go by what am I seeing? And what does this person really need?

• 30:40Jen Cohen?

  So what is one of the biggest skincare mistakes women make once they hit their 40s and 50s then?

• 30:46Speaker 00

  The biggest mistake is probably going with the trend. And getting things that they don't really need. Going to a place that they're gonna say no. And say, this is what you need. You know, for example, if you're like, if you booked an appointment and booked microneedling, I'd have you come in and I'll say, why do you want the microneedling? And not to convince you to not get it, but I wanna hear what your reasoning is. What is your concern? And most likely, it's not gonna match up. And I wouldn't perform the microneedling.

• 31:19Jen Cohen?

  Really, you wouldn't?

• 31:20Speaker 00

  I would say, I'd rather you, it's not gonna harm you. And you might get a glow.

• 31:26Jen Cohen?

  But you're not gonna waste someone's time.

• 31:27Speaker 00

  Right, but it's like, I'd rather you take that money and put it towards something else.

• 31:31Jen Cohen?

  Right, so like, basically, so you're saying that like, just like, doing what's trendy versus what's doing what's actually good for you?

• 31:37Speaker 00

  Right.

• 31:38Jen Cohen?

  Got it, okay, that's a good one, okay. So what about red light, by the way? Like, people are, you know, wearing the red light masks.

• 31:43Speaker 00

  I love red light.

• 31:44Jen Cohen?

  Yeah.

• 31:44Speaker 00

  I think it's important to be consistent with it. So I do a lot of red light post-treatments because I think it enhances what the treatment was.

• 31:52Jen Cohen?

  Okay.

• 31:53Speaker 00

  Again, stacking treatments on the same visit are gonna be beneficial. And especially if you're doing like a light ablative, more and more ablative, the LED light's gonna heal you more. Now, if you have one at home, be consistent with it.

• 32:08Jen Cohen?

  Wouldn't you say like every day?

• 32:10Speaker 00

  Yeah, if you can.

• 32:11Jen Cohen?

  For how long?

• 32:11Speaker 00

  As much as you can, 20 minutes. I have an LED light from, like, I have a panel. And I have it because my kids use it. And they use it for their knees because of, you know, after they're playing so much. Or their back, I've used it on my dog who threw out his back.

• 32:26Jen Cohen?

  Right, right, really?

• 32:27Speaker 00

  Yes, he loves it.

• 32:28Jen Cohen?

  Really?

• 32:29Speaker 00

  Yes.

• 32:29Jen Cohen?

  How does it, wait, do you have one that actually stays on your body?

• 32:32Speaker 00

  It's like flexible, that's a Saluma.

• 32:35Jen Cohen?

  Oh, I use the Therasage one. Actually, I thought it was gonna be here. They're incredible, because it molds to your body.

• 32:42Speaker 00

  Yeah, the Saluma one, it's flexible.

• 32:44Jen Cohen?

  Yeah, it's really flexible. How big is yours?

• 32:46Speaker 00

  It's like this big.

• 32:48Jen Cohen?

  Oh, yeah.

• 32:49Speaker 00

  It's a good size.

• 32:50Jen Cohen?

  Did you ever get it tested to see what kind of red lights are in there?

• 32:53Speaker 00

  They have it on, like, their information, Saluma's been around a long time. They're very high quality.

• 32:59Jen Cohen?

  Yeah.

• 32:59Speaker 00

  Uh, so the ones that, you know, the professional size that they sell is like the ones that we would use in the clinic.

• 33:05Jen Cohen?

  In the clinic, okay. So yeah, mine's also supposed to be like extremely high quality and all the things. But people have to be careful because a lot of these things you don't know.

• 33:13Speaker 00

  Yeah.

• 33:13Jen Cohen?

  You know, like, there's so many wellness bio hacks that people are just making so much money off of. You have to be so discerning, that's why like I'm asking all these questions. Okay, so what treatments actually stimulate collagen? And which ones are basically hype?

• 33:34Speaker 00

  I mean, all technology's gonna do something, right? Because again, I said it's the physics.

• 33:39Jen Cohen?

  Yes.

• 33:39Speaker 00

  Right, but it's just like, what depth is it going into the skin? And what is it really gonna do for you? There are some radio frequencies out there that, you know, it's like massaging on the face and that's temporary. That's gonna be just like, okay, I'm gonna, I'm causing some inflammation, gives a little fluff.

• 33:56Jen Cohen?

  Doesn't even work?

• 33:57Speaker 00

  It's not, if it is, it's not a lot. A lot, a lot of these kind of, you know, estheticians will say, I'm doing radio frequency. And yeah, it'll give you like a nice like lift and tighten. You look great for like an event, but it's not something that's really triggering on a deeper level.

• 34:13Jen Cohen?

  So what would actually, like, besides, like, you said it earlier, the Sculptra stimulates collagen?

• 34:21Speaker 00

  Yeah, that's a-

• 34:22Jen Cohen?

  All the lasers stimulate collagen?

• 34:23Speaker 00

  So I divide it, I kind of, when I have a consult, I'll break it down a little bit.

• 34:28Jen Cohen?

  Okay.

• 34:28Speaker 00

  Where it's like, okay, I'm, I'm understanding it a little bit more. I, I make two columns. You've got injectables and you've got technology.

• 34:35Jen Cohen?

  Yeah.

• 34:36Speaker 00

  So in the injection family, we've got your neurotoxins with your, which are your botox, your disport, etc. Those are working on the muscle, it's stopping the muscle from contracting. I love it. I, you know, I know people have some, you know, words about it, but I think it's, it's a great drug. It's a great drug in medicine. It's been a miracle drug in medicine for people who have MS, cerebral palsy. It's a beautiful drug. Then you have bio-stimulators, which can be like Sculptra, um, your own blood, PRP, PRF, PDGF, I could, you know, every P that you can see of.

• 35:12Jen Cohen?

  Yes, exactly.

• 35:13Speaker 00

  Um, and it could, you know, whether it's your own or synthetic, it is basically stimulating more of your own growth factors. Then you go into fillers, which are hyaluronic acids. There are non-hyaluronic acid fillers, like calcium fillers, which I actually don't use anymore. Because there's a risk to having it. And if there's a complication, you can't break it down. And so that's why I stick with hyaluronic acid fillers.

• 35:40Jen Cohen?

  Oh, what's the name one, so people can?

• 35:43Speaker 00

  So hyaluronic acid fillers are, you know, your Juvederm, your Restylans, your-

• 35:47Jen Cohen?

  Oh, okay.

• 35:48Speaker 00

  RHAs, etc. Um, something like Radius is calcium, um, which are, can get beautiful results, but there's a higher risk for them, and so I like to sleep at night.

• 35:59Jen Cohen?

  Yeah, I don't blame you.

• 36:07Jen Cohen?

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• 36:49Jen Cohen?

  Visit livemomentous.com and use my code Jen for 35% off your first subscription. That's livemomentous.com code Jen for 35% off your first subscription. Trust me, you'll be happy you did.

• 37:15Jen Cohen?

  What actually ages the face the most? Sun damage, which is what I have a lot of. Collagen loss, hormones, volume loss, or lifestyle?

• 37:25Speaker 00

  Is there like A, B, C or all of them?

• 37:27Jen Cohen?

  I mean, yeah, I mean, you could say, like-

• 37:29Speaker 00

  I, I, yeah, sun. Sun damage is-

• 37:33Jen Cohen?

  The worst.

• 37:33Speaker 00

  Is the worst. It just, you know, especially depending on your skin type.

• 37:40Jen Cohen?

  We all sat in the sun, though. Why am I getting like, why, why is my skin so terrible from sun damage? I hate sunscreen, though.

• 37:47Speaker 00

  Well, because it's, it's, I mean, it's causing, now what you're seeing, the results of, is the breakdown of the skin, the discoloration.

• 37:55Jen Cohen?

  Yeah.

• 37:56Speaker 00

  And that's what you're gonna see with the sun damage. And it's, the, the rays are just so harmful to our skin.

• 38:03Jen Cohen?

  Why is there such a movement about not wearing sunscreen? Because of all the chemicals on it? In it, sorry.

• 38:09Speaker 00

  Uh, yeah, I mean, I'm not part of that movement.

• 38:12Jen Cohen?

  Yeah, I mean, most people who are in, like, who are rational are-

• 38:16Speaker 00

  Yeah, yeah, you know, I mean, you can't, there are more SPF's coming out that, you know, you feel more confident putting on yourself, putting on your kids. I completely get that. But let me tell you, skin cancer, I've seen people die from skin cancer and melanoma.

• 38:32Jen Cohen?

  Yeah.

• 38:32Speaker 00

  And so I'd rather take my risk with SPF than something like that. And, but you know, with SPF, it only lasts a period of time until you have to reapply. And I think people forget about that. They think, oh yeah, I wear SPF, but it's like, okay, well, did you reapply?

• 38:47Jen Cohen?

  Well, right, most people are not reapplying it. They think if they do it once, they're good.

• 38:50Speaker 00

  Yeah.

• 38:50Jen Cohen?

  But you think you have to, you have to keep, like, is it realistic, though, for people to do that? Also, like, through the windows of LA is horrible because you have sun constantly.

• 38:59Speaker 00

  Yeah, but there's a lot of powder forms that I think, you know, if you put the SPF on and you put your makeup on, who wants to now put more cream on? And if you have a powder form?

• 39:11Jen Cohen?

  Yeah.

• 39:11Speaker 00

  Isdin is one, color science. And I, I carry one around, especially when like you're skiing, right?

• 39:18Jen Cohen?

  Yeah.

• 39:18Speaker 00

  Who wants to be like putting cream on themselves?

• 39:20Jen Cohen?

  That's the greatest, you can put a powder on. What's it called?

• 39:23Speaker 00

  Well, there's one by Isdin, I S D I N, and then color science.

• 39:28Jen Cohen?

  I never even knew that, that's a great idea.

• 39:30Speaker 00

  Mm-hmm.

• 39:31Jen Cohen?

  All right, so what did you do? Because you look great.

• 39:34Speaker 00

  I do everything.

• 39:35Jen Cohen?

  Okay, tell me like the top four things that you've done like this year?

• 39:39Speaker 00

  Um-

• 39:39Jen Cohen?

  In the last two years?

• 39:41Speaker 00

  Yeah, Softwave, Everess.

• 39:44Speaker 00

  And I

• 39:47Jen Cohen?

  How are they different?

• 39:48Speaker 00

  So

• 39:49Jen Cohen?

  Okay, for, for, sorry, finish your four and then we can tell it.

• 39:51Speaker 00

  Softwave Everest, I do PDGF injections, um, which is platelet derived growth factor for under my eyes. I think under eye area is like a big kind of, you know, issue for people, um, looking kind of tired or dark circles. And probably just good old laser. I do, um, the, what I was talking about.

• 40:14Jen Cohen?

  Yeah.

• 40:15Speaker 00

  You know, a YAG laser to work on my tissue quality.

• 40:19Jen Cohen?

  But you're lucky, you have like access to all of this stuff.

• 40:22Speaker 00

  Yes, that is true, but everyone thinks because I'm in it, like I'm doing something on myself every day, I'm not. I have to really, I mean, it's just like what you do. I really have to put the time aside and it's after I probably work 10 hours and I'm like, I better just do this to myself and get it over with.

• 40:39Jen Cohen?

  I know, because that's true, actually, like people usually think, oh, like trainers, for example, they must work out all the time. But usually they don't work out at all, they don't have time because they're constantly doing it for other people.

• 40:50Speaker 00

  Yeah.

• 40:50Jen Cohen?

  Right? But what you have is access to these like machines that are like a little different than training, but like, you know, they do take, actually they do take up a lot of time, they're, they're time consuming. And then who's doing it for you? You have people who work for you.

• 41:02Speaker 00

  There are people who work for me, but I'm, I usually end up doing it to myself.

• 41:05Jen Cohen?

  Really?

• 41:05Speaker 00

  Yeah, because I just, it's just time factor.

• 41:07Jen Cohen?

  What is that thing that you said, though? Well, first of all, PRP, I heard that's excellent.

• 41:11Speaker 00

  So it, PRP is your own blood.

• 41:13Jen Cohen?

  Yeah.

• 41:14Speaker 00

  I actually like PRF better, which is a different way of spinning it, spinning the blood. Cause you, it's a slower spin, so you're kind of getting more growth factors. But it also could be like how healthy you are, what are your growth factors? What, you know, how old you are, how, what kind of, you know, someone who's 40 and they can have a, they can have an age of a 35 year olds, or they can have an age of being a 45 year old.

• 41:37Jen Cohen?

  Right.

• 41:38Speaker 00

  It depends on, I think that, you know, genetics and health. PDGF is, is a newer product on the aesthetic market, it's been in medicine. We've used it on topically diabetic ulcers, burn victims. Then they started injecting it and like spinal fusions, et cetera. And then everything in medicine, they bring into aesthetics. And so what we're seeing is when we're injecting it, it's regenerating at a faster pace than your PRP. So, um, it is considered off label right now and they're in the FDA trials. You will go on social media and you will hear half the industry call it snake oil. And you'll have half the industry

• 42:20Jen Cohen?

  Really?

• 42:21Speaker 00

  Saying they love it. It's like when Botox came out, you know, we had to convince people to do Botox. So anything new, people are weary about understandably and should be. I've been in, using it in my practice and have had fantastic results.

• 42:36Jen Cohen?

  So, I mean, not to always bring it back to me, but I am someone who's very interested in this whole thing. Would someone like me benefit from that and how would I use it?

• 42:44Speaker 00

  Right, so most likely, I think you would benefit from Sculptura.

• 42:49Jen Cohen?

  Yeah.

• 42:49Speaker 00

  And I think we are gonna plan on doing that because you're very thin and I wanna kind of regenerate tissue in here. You've got amazing cheekbones. I would do PDGF under your eyes, um, just because it would just bring a little bit more life and just give you 10 hours of sleep.

• 43:08Jen Cohen?

  God, that would be great. I mean, that would be from your mouth to God's ears. It's all, I think this is the, like, everyone just wants to get rid of their jowls, that's like the big thing, right? Like that, it, like, can that, without surgery, how realistic is that?

• 43:23Speaker 00

  Oh, you, you will see improvement, a hundred percent.

• 43:25Jen Cohen?

  Like, by how much? Four percent?

• 43:27Speaker 00

  No, I think more than that. I think more than that. I, I can't give you a percentage, but he- here's the thing. Whether you plan on having surgery or not.

• 43:36Jen Cohen?

  Right.

• 43:36Speaker 00

  All of these things are important to help your tissue quality. By improving your tissue quality and then you're gonna get the facelift, you now are gonna have a better result with your facelift because you worked on your skin. People who do not work on your skin, I think, don't have as good outcome as a facelift. And is a facelift permanent? Absolutely not. You know, there's some people that will last five years, 10 years, and then they need another facelift.

• 44:00Jen Cohen?

  Really?

• 44:01Speaker 00

  Yes.

• 44:01Jen Cohen?

  Jeez, but like, but what about this deep plane? Everyone's talking about the deep plane.

• 44:05Speaker 00

  Deep plane, it's, and then you have the industry where you have all these plastic surgeons kind of bashing the

• 44:11Jen Cohen?

  Fillers.

• 44:12Speaker 00

  The, well, the fillers and the, and the technology.

• 44:15Jen Cohen?

  Yes.

• 44:15Speaker 00

  And I say to them, you know, why? Why are you doing that? If, if, everyone can't have surgery, you can't have surgery when you're 20 and then people who are 30 have or everyone who's 30 should just get a fat transfer, that's not realistic.

• 44:29Jen Cohen?

  Well, it's crazy. Well, I also find it crazy that I'm looking at people who are in their late 30s, for like early 40s, who are getting facelifts.

• 44:36Speaker 00

  Right.

• 44:37Jen Cohen?

  When I was a kid, people who were 70 were getting facelifts.

• 44:40Speaker 00

  Yes.

• 44:40Jen Cohen?

  Right?

• 44:41Speaker 00

  Uh huh.

• 44:41Jen Cohen?

  So what do you believe? Like, do you think it's better to do more preventative at an earlier stage?

• 44:46Speaker 00

  Now, if someone doesn't like a certain appearance of themselves, like they have a downward lateral eyebrow and they wanna go get a brow lift at a young age because they wanna change their appearance, okay, go, go for it. You know, but I don't think people getting a facelift at that age is really appropriate. Now, I've had girlfriends, you know, at 45, you know, like I'm thinking of getting a facelift and I was very honest, I'm like, I agree with you. Because of how she's aged and her genetics and which, you know.

• 45:17Jen Cohen?

  Yeah.

• 45:18Speaker 00

  But then I've seen someone who was 45, I'm like, I don't think you need it yet. I don't think, I think you're gonna go get your consults and I think the surgeons are gonna deny you.

• 45:25Jen Cohen?

  What happened?

• 45:26Speaker 00

  And typically, I was right, you know.

• 45:28Jen Cohen?

  Really? Because these face, like facelifts, I don't know, like, they're, they're like a hundred and fifty thousand dollars here for the good people.

• 45:36Speaker 00

  Yes.

• 45:37Jen Cohen?

  That's absurd.

• 45:38Speaker 00

  Yeah, people are going out of state now.

• 45:40Jen Cohen?

  Yeah, they're going, well, everyone's going to Turkey or they're going to Korea even.

• 45:45Speaker 00

  Yeah.

• 45:45Jen Cohen?

  They're going to Mexico now, everywhere. Like, do you think the quality is just as good there?

• 45:51Speaker 00

  I'm sure, I'm sure those, I have not investigated. I would not, just because I know a lot of people have gone to Korea and even with these like simple procedures, they're like, I don't wanna deal with the pain, so just, you know, give me anesthesia.

• 46:04Jen Cohen?

  Yeah.

• 46:05Speaker 00

  And I'm like, really? Are you sure you want, you know, and there's been deaths. And so because, but you're, it, you're, if there's a language barrier.

• 46:11Jen Cohen?

  Yes.

• 46:12Speaker 00

  Like, what if something goes wrong? There have been things that are going wrong. I don't wanna be stuck in another country with a, with a complication.

• 46:20Jen Cohen?

  Yeah.

• 46:20Speaker 00

  So that's where I, why I wouldn't, but I've seen great results, I just personally was not comfortable with that.

• 46:26Jen Cohen?

  So this whole deep plane facelift, how were they performed before differently than now?

• 46:33Speaker 00

  So you'd have to ask a surgeon, you know, what the, what the difference is, but you know, deep, deep plane has been going on for a long time. Like, if you talk to some surgeons, like, we, we've been doing this and they're just, they're taking off with this.

• 46:47Jen Cohen?

  Cause that one guy, Stephen Klein, said he did a deep plane on Kris Jenner and all of a sudden now everyone was like, deep plane, deep plane, and they are calling it deep plane because that's the hook that people know.

• 46:58Speaker 00

  Right.

• 46:59Jen Cohen?

  Yeah. Okay, so for people who don't have $500,000 to spend on a facelift, what are some really good skincare anti-aging tips you can give us for people on a budget?

• 47:12Speaker 00

  I, I think, and I tell my patients too, like, I, I'm like, I need their feedback. I'm gonna, I'm gonna give them information of saying, okay, these are the things I want, I would like to do. Okay. These are my goals. Are you comfortable with this? I want someone to sit in my chair and, and feel like, okay, we're on this journey together. So, you know, physically, mentally, financially, what are we gonna do? And again, it, I'm sorry to do this, but it depends like what their main concern. I ask someone that, that question always, like, I want, what are your questions? What are your concerns? And I, I am very in tune, what is the first thing they say to me? And that's where I go with it because what, it, and it's different for everyone.

• 47:57Speaker 00

  It could be pigmentation, it could be, I, I'm seeing these lines right here. Or it's the saggingness, and so that's where I'll start. And that's where I, I, let's do this procedure first. Work on the pigmentation, work on the tissue quality, or is it the, the lifting and tightening first?

• 48:17Jen Cohen?

  So what's, what is the number one thing people complain about when they come into your office?

• 48:23Speaker 00

  It's been different all these, through these years, but I think it's because I've gotten older too. And so then my clientele has gotten older.

• 48:29Jen Cohen?

  Yeah.

• 48:30Speaker 00

  So it is lifting and tightening.

• 48:31Jen Cohen?

  Lifting and tightening.

• 48:32Speaker 00

  Mm-hmm.

• 48:32Jen Cohen?

  And so, right off the bat, for lifting and tightening, you would moat, I know it's always customized, but right now you love the soft wave.

• 48:41Speaker 00

  Yeah. And, and the Everest.

• 48:42Jen Cohen?

  And the Everest.

• 48:43Speaker 00

  Mm-hmm.

• 48:43Jen Cohen?

  When will you use the soft wave? When will you use the Everest?

• 48:47Speaker 00

  It depends on kind of their laxity, and if I feel like they're gonna benefit from both, I would never do them on the same day, and they need to be spread out months apart. So, soft wave is going to be, like what I told you, the scaffolding.

• 49:00Jen Cohen?

  Yep.

• 49:01Speaker 00

  Everest is going to be the lifting and a little bit of volumizing of the skin. It works also superficially, brings back the fibroblast together, so you get this little, like, plump to the skin, but in a good way.

• 49:14Jen Cohen?

  Okay, I love that. Okay, so let's go back to the, for the budget, for people on a budget. What can people do for their skin to look healthy and young?

• 49:26Speaker 00

  I think, let's start with at home. What are they using at home? And it doesn't have to be ten products, but it's going to be nurturing products, whether it's growth factors, hydration, or, um, deep nourishing. So, it depends on their skin quality.

• 49:43Jen Cohen?

  Okay.

• 49:44Speaker 00

  So, I mean, I really have people saying like, "Oh, well, I use, like, Dove soap on my face." I'm like, "Okay, we gotta, we gotta change that."

• 49:52Jen Cohen?

  Yeah, or Nivea cream.

• 49:53Speaker 00

  Yeah, and I, you know, people don't realize how harsh those chemicals are. When I was doing my own product line, and I was looking at some of the ingredients, some of them are the same ingredients as our cleaning products. So you're just stripping that skin. So yes, it always starts back at home, especially if you're on a budget.

• 50:13Jen Cohen?

  Yeah.

• 50:14Speaker 00

  But getting good quality, and not just like, "Okay, I'm now I'm gonna do ten steps," and you're buying like, cheap things, and going to Sephora and picking, you know, random things.

• 50:21Jen Cohen?

  Sephora doesn't, like, that's like, very like, it's, again, it's branding.

• 50:25Speaker 00

  Yeah, it's trendy.

• 50:25Jen Cohen?

  It's trendy and branding.

• 50:27Speaker 00

  Mm-hmm.

• 50:27Jen Cohen?

  But like, brands like, uh, Cetaphil, or, I don't know, like, there's a bunch of those, like, brands.

• 50:33Speaker 00

  Right. Seravi.

• 50:35Jen Cohen?

  Seravi.

• 50:35Speaker 00

  Yes. You need something more than that.

• 50:37Jen Cohen?

  You do.

• 50:37Speaker 00

  Yes.

• 50:38Jen Cohen?

  Okay, so, what would you give me, like, walk me through, if someone had only fifty bucks to spend, what can they do to make their skin look better?

• 50:48Speaker 00

  Well, the right cleanser.

• 50:49Jen Cohen?

  Okay.

• 50:50Speaker 00

  You know, you're looking at, at least like, thirty dollars, in thirty dollar range, to have a good cleanser.

• 50:55Jen Cohen?

  Okay.

• 50:56Speaker 00

  Um.

• 50:56Jen Cohen?

  Which one?

• 50:57Speaker 00

  Well, we, I like this, I like the medical grade, you know, skincare.

• 51:02Jen Cohen?

  You said, you said you like the.

• 51:03Speaker 00

  So I do Skin Better cleanser.

• 51:04Jen Cohen?

  You said a Skin Better, you did say that earlier.

• 51:06Speaker 00

  Hydranity and Skin Better have a great cleanser.

• 51:09Jen Cohen?

  Okay.

• 51:09Speaker 00

  Um.

• 51:10Jen Cohen?

  I like the Young Goose, I'm telling you. It's expensive, actually, though. But it's good. Uh, Young Goose.

• 51:15Speaker 00

  They have a range.

• 51:16Jen Cohen?

  Oh, range?

• 51:17Speaker 00

  Like, forty or something?

• 51:18Jen Cohen?

  Oh, actually, the, I don't know, the cleanser might be like, I should Google it, actually, I don't know. Maybe, maybe the cleanser's price affect, it's, it's not, it's not, it's not expensive. It's the Exosomes that's quite expensive.

• 51:32Speaker 00

  Yeah.

• 51:33Jen Cohen?

  But it's good. I like it. I don't know, I just found it to be.

• 51:36Speaker 00

  And, and then, that's hard, it's hard to say when you're on such a low budget. I mean, I, my, my, when I did my product line, it was very clean, I mean, the, my moisturizer was fifty bucks.

• 51:47Jen Cohen?

  I know, I'm trying to think, besides product, okay, so let's say, like, a good hydrating cleanser, a good hydrating moisturizer, what have, other things? How about gua sha? Does gua sha help?

• 51:58Speaker 00

  I am, I, not a big believer in like, gua sha unless like, you retain water, and it's like, lymphatic, like, you wanna do something in the morning when you wake up, and you're puffy, and you're just kind of draining your face. You know, I like lymphatic massages, lymphatic face. I'm actually doing, like, my own study on, like, a deep facial massage, uh, concept, and how beneficial that is, because we hold so much stress on the face.

• 52:23Jen Cohen?

  Yeah.

• 52:24Speaker 00

  So I'm kind of working on that, uh, personally.

• 52:27Jen Cohen?

  For a while.

• 52:28Speaker 00

  I am, I, I carry, I have horrible TMJ.

• 52:32Jen Cohen?

  Yeah.

• 52:32Speaker 00

  So I, just having a personal trial.

• 52:36Jen Cohen?

  Yeah.

• 52:36Speaker 00

  Before I kind of like, tell people about it, to see how much, we just, it's just so, our face is such a stress ball.

• 52:43Jen Cohen?

  Yeah, no, it's, I mean, also, like, do you, what are those, there's something that people take for their hair. Is it Nutraful?

• 52:51Speaker 00

  Uh-huh.

• 52:51Jen Cohen?

  Is there something for your face that people take? I don't know why.

• 52:54Speaker 00

  Like collagen supplements?

• 52:56Jen Cohen?

  I don't know, maybe, I don't know, no.

• 52:58Speaker 00

  I mean, there's, listen, I, I mentioned this before, I'm a horrible pill taker.

• 53:02Jen Cohen?

  Yeah.

• 53:02Speaker 00

  So, I'd rather take a shot.

• 53:04Jen Cohen?

  Yeah.

• 53:04Speaker 00

  And so I'd rather, yeah, I would, I'd rather do a peptide, but that doesn't mean, people put collagen in their coffee, and they're, you know, we don't know, I mean, you'd have to do a study on, on their, you know, blood work and everything.

• 53:16Jen Cohen?

  I just have a problem, I, I actually have a thing where I don't think, not me personally, but people I've spoken to who are much more in the know than I am, say that you can't, collagen that you ingest doesn't work on your skin.

• 53:29Speaker 00

  Well, our skin is our largest organ, so if you think about it.

• 53:32Jen Cohen?

  I know.

• 53:32Speaker 00

  Right? And so, I do, I do think what we intake affects externally, but how much is it gonna improve? You know, it's just a concept too, of like, people having gut issues, and then it coming out and purging on their skin. So, it's really important to, I think, take care of that gut. I think the gut is what's gonna affect our skin the most, the dryness, the breakouts, et cetera.

• 53:58Jen Cohen?

  Yeah. What's the fastest way to age your skin without even realizing you're doing it?

• 54:04Speaker 00

  The fastest to age your skin, um.

• 54:07Jen Cohen?

  Without realizing that you're doing it?

• 54:09Speaker 00

  I think not taking care of it, ignoring it, to be honest. That's where I have a hard time improving a patient's outcome, because they've waited way too long, and I've had to like, catch up, and then they're just frustrated.

• 54:26Jen Cohen?

  Mm-hmm.

• 54:27Speaker 00

  Because it's like, well, this takes time.

• 54:30Jen Cohen?

  Well, people keep on telling me, my skin's so dehydrated, right? Well, what am I doing that I'm dehydrating? If I drink a lot of water, if I'm using a hydrating moisturizer, what, what else can you do to hydrate your skin?

• 54:44Speaker 00

  Well, it depends on, have you always been like that, dehydrated? I mean, and where you at hormonally?

• 54:50Jen Cohen?

  I mean, I've been like this for a long time, like, I mean, I remember, like, I walked into, like, my, uh, my esthetic, like, when I say my, she was like, my waxer, like, fifteen years ago, and she's like, "Your skin," she's Russian, she's like, "Your skin is so dull and horrible, you need to, you need to do something, put a mask on." And I was like, "Okay, well," and then like, I remember that, so this was like, a long time ago. So my point is, I think it's always been a problem.

• 55:17Speaker 00

  Yeah.

• 55:17Jen Cohen?

  But then again, because I never really took care of my skin.

• 55:19Speaker 00

  And it's, it's, it's time to probably do a little more exfoliation, in order to kind of take that dead layer off, and then.

• 55:28Jen Cohen?

  Oh, exfoliation, yes.

• 55:29Speaker 00

  And bring something back, and those have downtime.

• 55:32Jen Cohen?

  I know. So what's a good exfoliator then, for, like, that won't give you that much downtime?

• 55:37Speaker 00

  Well, at home, I, I, you know, there's certain products, like acids, that can help, like, you know, glycolic, lactic, salicylics. I love a great one, my Skin Better has the pads, it's like, the alphabet pads.

• 55:51Jen Cohen?

  Yeah.

• 55:52Speaker 00

  And you can use them once or twice a week, and I like chemical exfoliations.

• 55:56Jen Cohen?

  Oh, is that like the Dr. Ross? Not Dr. Ross.

• 55:58Speaker 00

  They're pads, there are, there are good ones out there, um.

• 56:01Jen Cohen?

  What's his name, the guy?

• 56:02Speaker 00

  Dr. Roth, uh, uh, now that you say it.

• 56:06Jen Cohen?

  Yeah, uh, what's his name? Dr. Dennis Gross.

• 56:08Speaker 00

  Yeah.

• 56:09Jen Cohen?

  Yeah, Dennis Gross, yeah, yeah, yeah, okay.

• 56:11Speaker 00

  So, those are great chemical exfoliators.

• 56:14Jen Cohen?

  Mm-hmm.

• 56:15Speaker 00

  And if your skin can tolerate it, retinols.

• 56:19Jen Cohen?

  Do you think my skin can tolerate retinols?

• 56:20Speaker 00

  You'd have to try it, yeah. Yeah, but I like easing into retinols. I don't like when you're like, you look crazy all the time, because you're using too much of retinol.

• 56:29Jen Cohen?

  Like, how would you even put, like, retinol on your face?

• 56:31Speaker 00

  At night.

• 56:31Jen Cohen?

  Actually, I'm gonna answer the question for you, Melissa. So, if I was somebody on a budget, with, you know, someone on a budget that needs to improve their skin for anti-aging, I think you can do it with retinols. Like, was that one that, uh?

• 56:44Speaker 00

  A Tretinoin.

• 56:45Jen Cohen?

  Tretinoin.

• 56:46Speaker 00

  Yeah, prescription-grade Tretinoin.

• 56:47Jen Cohen?

  Yes, I heard that is a miracle.

• 56:50Speaker 00

  Yeah, as long as your insurance covers it.

• 56:52Jen Cohen?

  Really?

• 56:52Speaker 00

  Yeah, otherwise it'd be like, a couple hundred dollars.

• 56:54Jen Cohen?

  Really?

• 56:55Speaker 00

  Mm-hmm.

• 56:55Jen Cohen?

  So why is Tretinoin so good for your skin?

• 56:57Speaker 00

  Well, retinol's always been a really powerful ingredient. There's a lot of science behind it.

• 57:02Jen Cohen?

  Okay.

• 57:03Speaker 00

  But I think, you know, it is an old-school ingredient, um, so people are like, constantly putting it in their, their product line. But it's a cell turnover, so it's helping the exfoli, the natural exfoliation process.

• 57:17Jen Cohen?

  But how do you know you're not overdoing it? Like, how much, how often?

• 57:20Speaker 00

  It's a visual. So I always start once a week, add to twice a week, to three times, there's different dosage. I do it only in like, my products. I can't use straight retinol, because I have rosacea, and I just flare my skin.

• 57:34Jen Cohen?

  Yeah.

• 57:34Speaker 00

  So, I like to use it with like, an alphabet, and I don't have any issues. But people who can tolerate it, they should use it.

• 57:41Jen Cohen?

  Really?

• 57:41Speaker 00

  Mm-hmm. Yeah, so you just you just ease into it. If you're getting red and flaky, then you you slow down.

• 57:47Jen Cohen?

  Okay, so what's the difference between a good filler and a bad filler?

• 57:50Speaker 00

  A good filler and a bad filler, it's placement, it's dosage, it's where that person really needs it. And not just randomly like, you know, putting it in someone's face.

• 58:01Jen Cohen?

  Because, you know, the people can look crazy.

• 58:04Speaker 00

  Yes.

• 58:05Jen Cohen?

  Is it because they have too much of it in their face?

• 58:07Speaker 00

  Too much in placement, yeah.

• 58:09Jen Cohen?

  So if you wanna like lift your face here?

• 58:11Speaker 00

  Fillers don't really lift the face. They're going to, it's kind of like photoshopping. It's like where where there are divots, where there's indentations, where there is volume loss. And you're bringing back that volume. And so when you see someone who has been properly filled.

• 58:29Jen Cohen?

  Right.

• 58:30Speaker 00

  I like to do all the technology first and then I say my injections are the icing on the cake. Because that's when you're gonna just be like, overall, just kind of fine tune them. But, you know, people who say like you're gonna lift and tighten, you know, with with filler, that's not true. You're it's helping volumize an area.

• 58:48Jen Cohen?

  What is the most overrated anti-aging treatment right now?

• 58:52Speaker 00

  I'd have to say the ZERF.

• 58:54Jen Cohen?

  Really?

• 58:54Speaker 00

  Yes.

• 58:55Jen Cohen?

  I love that, okay.

• 58:56Speaker 00

  It's not because I'm bashing ZERF, but it is marketed that this is the answer.

• 59:03Jen Cohen?

  Right, it's the panacea.

• 59:04Speaker 00

  This is gonna be it and it's gonna be done, it's completely pain-free, the it, no. You do feel it, I don't think it's that painful, you can see a good result, but you need more than one. And I feel like it's a hidden agenda behind it, like you're gonna do ZERF and you're gonna be done.

• 59:23Jen Cohen?

  Right, it's a lot of marketing.

• 59:24Speaker 00

  Yes, I do not market my, I don't say soft wave, that's it, no.

• 59:29Jen Cohen?

  Right.

• 59:29Speaker 00

  I say multiple treatments. It's not a one and done and it's just, it's not just one one uh service.

• 59:36Jen Cohen?

  Okay, what's the most underrated anti-aging treatment right now?

• 59:41Speaker 00

  I'm gonna say, it's not a particular treatment, it is, the most underrated is actually treating pigmentation and tone. Because when you clear that skin, it is just like refreshed. You feel like a new person.

• 59:59Jen Cohen?

  Really?

• 59:59Speaker 00

  Mm-hmm.

• 59:59Jen Cohen?

  How do you, how can you change the pigmentation and tone?

• 1:00:04Speaker 00

  Unfortunately, it's a little bit of downtime, not crazy downtime, but if you were to do a peel. You've got three full days of peeling.

• 1:00:13Jen Cohen?

  Okay.

• 1:00:14Speaker 00

  We do a lot of BBL with Moxie, which is Cytone, so I do the combination of using a light technology and then a laser technology, so you're working on pigmentation and texture at the same time. If someone has kind of melasma, that patchiness, I might wanna do an Urbium, which is also lightly ablative. So you're looking at a week downtime, again, you can go out of your house, but you don't wanna have an event.

• 1:00:41Jen Cohen?

  You don't wanna have an event, okay, that's hilarious, okay. What area is most often ignored?

• 1:00:47Speaker 00

  The neck.

• 1:00:49Jen Cohen?

  So true.

• 1:00:50Speaker 00

  Yeah, the neck.

• 1:00:51Jen Cohen?

  And the neck is where you can see your age.

• 1:00:53Speaker 00

  Yes, so even when people are like, you don't need to treat my neck, I'm like, we need to treat your neck.

• 1:00:58Jen Cohen?

  That's a hundred percent true.

• 1:01:00Speaker 00

  You are gonna wake up and go, shit, my neck looks bad.

• 1:01:02Jen Cohen?

  One hundred percent. Can you actually put Botox in your neck?

• 1:01:06Speaker 00

  Yes, you can, you can, but for, you know, what is that reason? It's not going to do. Everything is basically on muscle, right? It's working on muscle. So we have our Plitism Band that is a downward motion. So when we're injecting these bands and we come to the jawline, we're gonna get a little bit of what we call like a Nefertiti lift.

• 1:01:27Jen Cohen?

  How much does menopause change your skin?

• 1:01:29Speaker 00

  I think it starts to change perimenopause and then menopause. And I think as we prepare for it, peri and menopause, we should be preparing our skin for it too.

• 1:01:41Jen Cohen?

  How do we prepare our skin?

• 1:01:42Speaker 00

  I think that goes a little bit deeper into if you are for or against HRT. Because I do think estrogen and progesterone really do help your skin.

• 1:01:51Jen Cohen?

  Hmm.

• 1:01:51Speaker 00

  And I, like someone like me who's in perimenopause, um I started a year ago. Cause I saw the changes happening and I'm like, I'm gonna get on board now.

• 1:02:02Jen Cohen?

  Mm-hmm.

• 1:02:02Speaker 00

  And you might need to do a little bit more nurturing and nourishing to the skin of hydration, exfoliation, etcetera, of just like, okay, I'm just like you're preparing your body, you're preparing your skin as well.

• 1:02:16Jen Cohen?

  So right, so HRT would really help with that.

• 1:02:18Speaker 00

  Yeah, I do, I think it does.

• 1:02:20Jen Cohen?

  Yeah. What skincare ingredient causes more problems than people realize?

• 1:02:26Speaker 00

  One can be Retin A.

• 1:02:27Jen Cohen?

  Yeah, oh yeah, well that's like, cause it makes your skin so.

• 1:02:30Speaker 00

  I've had to stop people from Retin A too, although it's a great ingredient. People who who suffer from rosacea.

• 1:02:38Jen Cohen?

  Right.

• 1:02:38Speaker 00

  It can be really irritating to them and like I could tell them to completely back off.

• 1:02:42Jen Cohen?

  Yeah.

• 1:02:43Speaker 00

  Also, doing too much to the skin, I I I have, I'll do a consult and they'll have ten different products, I'm like, you need to stop all this. And let's go back and kind of build you back up.

• 1:02:54Jen Cohen?

  Okay, we're gonna do some fast ones here, you ready?

• 1:02:57Speaker 00

  Okay.

• 1:02:57Jen Cohen?

  You go like fast, you ready? Okay. Botox, I'm like, I know you're gonna answer these questions like with, that depends, but try to.

• 1:03:05Speaker 00

  I'll try to, I will, I will.

• 1:03:07Jen Cohen?

  Botox or just port?

• 1:03:09Speaker 00

  Botox.

• 1:03:11Jen Cohen?

  Moxie or BBL?

• 1:03:12Speaker 00

  Moxie because it can do all skin types.

• 1:03:14Jen Cohen?

  Okay, Sculptra or filler?

• 1:03:20Speaker 00

  Uh, Sculptra.

• 1:03:21Jen Cohen?

  Okay, microneedling or laser?

• 1:03:24Speaker 00

  Laser.

• 1:03:24Jen Cohen?

  Okay, retinol or vitamin C?

• 1:03:27Speaker 00

  Vitamin C.

• 1:03:28Jen Cohen?

  Vitamin C, okay, I know this is so hard for you.

• 1:03:30Speaker 00

  It's an antioxidant.

• 1:03:31Jen Cohen?

  Antioxidant, right. Soft wave or RF microneedling?

• 1:03:35Speaker 00

  Soft wave.

• 1:03:36Jen Cohen?

  I know, she loves soft wave. Facial or a medical grade treatment?

• 1:03:40Speaker 00

  Medical grade treatment.

• 1:03:41Jen Cohen?

  Of course. Expensive moisturizer or expensive serum?

• 1:03:45Speaker 00

  Expensive serum.

• 1:03:46Jen Cohen?

  Morning skincare or nighttime skincare?

• 1:03:48Speaker 00

  Nighttime.

• 1:03:49Jen Cohen?

  What's one procedure you'd personally do forever?

• 1:03:53Speaker 00

  Laser.

• 1:03:54Jen Cohen?

  One treatment you think will disappear in five years?

• 1:03:57Speaker 00

  Uh, microneedling RF.

• 1:04:00Jen Cohen?

  Really?

• 1:04:01Speaker 00

  Yeah.

• 1:04:02Jen Cohen?

  Most underrated part of the face to treat, we said that.

• 1:04:05Speaker 00

  Yeah, neck, neck and chest.

• 1:04:08Jen Cohen?

  Chest, right? Nobody does that. Most overrated beauty trend right now?

• 1:04:12Speaker 00

  I said ZERF.

• 1:04:13Jen Cohen?

  ZERF, okay, I did ask her that already. Okay, now, I wanna hear something that you were talking about before we started the podcast about people come to you and it's a very, it's emotional, a lot of it's an emotional thing.

• 1:04:24Speaker 00

  Mm-hmm.

• 1:04:25Jen Cohen?

  Explain, can you kind of say more about that?

• 1:04:27Speaker 00

  Yeah. So I always say skin is emotional.

• 1:04:29Jen Cohen?

  Mm-hmm.

• 1:04:30Speaker 00

  And throughout my years, I've met some incredible patients. And you get to know them and they start to tell their story.

• 1:04:40Jen Cohen?

  Right.

• 1:04:40Speaker 00

  And it becomes a very personal thing. I also think, you know, you become that person that they get to tell you every little thing that they think wrong of themselves. That they would never tell their partner, they would never even tell their best friend. They'd be like, do you see this little mark here? And drives them nuts and whether I think it does, like I'm saying, okay, how can we address this mark?

• 1:05:01Jen Cohen?

  Right.

• 1:05:02Speaker 00

  But furthering that, I feel like people also come because they they emotionally need it. That their physical appearance is affecting them in a way, both internally and externally. So it could be, it's it's different for everyone. But I have two stories that actually make me kind of explain why I think skin is emotional. So I had one patient that, she's actually a writer herself, uh an attorney and a and a writer and she would, I was talking about emotions and I said, you know, well, you know, skin's really emotional. She's like, wow, you really think so? I'm like, yeah.

• 1:05:44Speaker 00

  And I think it's, there's a reason why everyone's sitting in my chair. And she says, oh, okay, well, what's my reason? And I said, okay, you wanna hear this? She says, yeah. I said, every time you come in and you sit down and I, you know, you ask me how I am and I ask you how you are, you bring up your mother. Every time, you know, oh, my mother did this, my mother said that, my mother said this about me last time. So it's almost, there's a connection that she's almost doing this for her mother. That she's she's doing something on her face because she wants to hear her mother's approval.

• 1:06:20Jen Cohen?

  Really?

• 1:06:21Speaker 00

  Yeah.

• 1:06:21Jen Cohen?

  Yeah.

• 1:06:22Speaker 00

  Yeah. And she didn't realize it and she actually got emotional and she's like, I I just, I never saw that. And you're right.

• 1:06:28Jen Cohen?

  Wow.

• 1:06:29Speaker 00

  And.

• 1:06:30Jen Cohen?

  Because she never felt pretty enough for her mother or?

• 1:06:32Speaker 00

  I don't know, but you know, she, but it could be, you know, maybe that it came down to that because she would say, oh, I got that done and my mother said something, she she thought it looked good. And it, you're talking like to a fifty-five-year-old woman.

• 1:06:45Jen Cohen?

  Right, but those wounds are so like, they're so embedded in our DNA.

• 1:06:51Speaker 00

  Yeah, yeah. And then the second one is, I'll try not to get emotional, cause it's it's a little um like close to home. So my oldest son's best friend passed away um about seven years ago. And it was very tragic, died in his sleep. And we were, he's twelve years old, about to be thirteen. And I, you know, my older son was best friends with him and then my younger son was best friends with the the second son. They were in our neighborhood, we were we were neighbors and I became very close with the parents. And um the mother, who's actually the most amazing person, you should meet her, she's written a book.

• 1:07:35Speaker 00

  She started coming to see me because her older son would tell her, mom, you know, go take care of yourself, you should go see Melissa more. Yeah, so she, she started coming to see me and we do very basic things, it was nothing elaborate and I think she could give two shits about what she looks like. She doesn't, she's just that person. And I think she was just trying to like, okay, I'm gonna do this, my son told me I should do this, you know?

• 1:07:56Jen Cohen?

  Yeah.

• 1:07:56Speaker 00

  And when he passed away, um I was very involved with that situation and I was like, oh, I hope she doesn't stop taking care of herself. And shortly after he passed away, she called me up and she was like, can I come in? And I was like, okay, you know, and she she came in and again, she could care less. I mean, she was losing weight, she was she was devast, I don't even know how she was surviving. But she came to me not because she wanted to look better, she wanted to come to a safe place. To pass the time and to kind of remind her, her son was telling her, like, take care of herself.

• 1:08:40Jen Cohen?

  So sad.

• 1:08:41Speaker 00

  Yeah.

• 1:08:42Jen Cohen?

  I'm crying because I actually remember that story. It's horrible.

• 1:08:46Speaker 00

  Yeah.

• 1:08:46Jen Cohen?

  Yeah, it is really horrible.

• 1:08:48Speaker 00

  Yeah, and it was one of the hardest things to do. I sometimes had to like leave the room. Because you you do feel your patient's energy.

• 1:08:55Jen Cohen?

  Yeah, for sure.

• 1:08:56Speaker 00

  Their energy affects you and I but I knew like I had to do this for her. And I I've I've talked to her about it and she's like, you know, I don't even remember those times. You know, it was just a blur for her. She was just trying. She was just trying to have time pass and get through the time.

• 1:09:12Jen Cohen?

  Wow.

• 1:09:13Speaker 00

  Um, so that has nothing to do with beauty.

• 1:09:15Jen Cohen?

  Yeah, nothing to do with beauty.

• 1:09:18Speaker 00

  Yeah.

• 1:09:19Jen Cohen?

  But it also, I think, because she there was a subconscious thing where the son said to her, Mom, do things. But yeah, so she did that for her son also.

• 1:09:28Speaker 00

  Yeah.

• 1:09:28Jen Cohen?

  Wow, I totally remember that. That was horrible.

• 1:09:31Speaker 00

  Yeah, yeah, you should. You should meet her. She's a remarkable woman.

• 1:09:35Jen Cohen?

  Really? I would love to. That was in two thousand nineteen or twenty or something like that. When was that?

• 1:09:41Speaker 00

  Six, yeah, in two thousand nineteen, right before COVID, the year before COVID.

• 1:09:45Jen Cohen?

  Yeah, you were friends with those people.

• 1:09:47Speaker 00

  Very close.

• 1:09:48Jen Cohen?

  Did they ever find out what was wrong with him?

• 1:09:50Speaker 00

  Uh-uh.

• 1:09:51Jen Cohen?

  Still?

• 1:09:51Speaker 00

  Mm-hmm. Yeah.

• 1:09:53Jen Cohen?

  And he was healthy before?

• 1:09:54Speaker 00

  Yeah, there's so many stories, but beautiful boy. And she's made a huge impact. She's built fields. She's

• 1:10:02Jen Cohen?

  I heard that.

• 1:10:02Speaker 00

  Yeah.

• 1:10:03Jen Cohen?

  That's what I think is amazing.

• 1:10:05Speaker 00

  We've had some crazy stories seeing him still. It's it's, yeah.

• 1:10:10Jen Cohen?

  Can you please introduce me to her? I think that's amazing.

• 1:10:12Speaker 00

  She wrote a book.

• 1:10:13Jen Cohen?

  I I remember.

• 1:10:14Speaker 00

  Tommy's Field.

• 1:10:15Jen Cohen?

  God, I totally remember this.

• 1:10:17Speaker 00

  You should have her here. She's just remarkable.

• 1:10:20Jen Cohen?

  I will.

• 1:10:21Speaker 00

  And the stories that she went through a whole journey of healing and seeing different people and she does TED Talks. You you're when she talks, you're like so engaged and yeah.

• 1:10:34Jen Cohen?

  Okay, introduce me to her. I totally remember and I don't know if it's like I remember hearing it because it was like a horrible story in the community, but then I also heard about it later on because of the fact that um she wrote this book and she did so many wonderful things to like keep his memory alive.

• 1:10:52Speaker 00

  Yeah.

• 1:10:52Jen Cohen?

  And I I thought that was so amazing.

• 1:10:55Speaker 00

  Yeah, yeah, and now, you know, unfortunately, we've had some really sad cases in in schools with us and she's like the first person they call to try to, yeah. Yeah, to help, yeah.

• 1:11:09Jen Cohen?

  Wow.

• 1:11:10Speaker 00

  So she she's she's made a lot of impact and he has too.

• 1:11:14Jen Cohen?

  That he definitely has. Wow. So he wasn't here in vain. There was like a like there was a reason beyond. Oh, God, that's horrible, though.

• 1:11:23Speaker 00

  But yeah, I mean, you know, they're just being in this industry as long as they have. You've you've come across some and just like you, you've come across some really amazing people. And you've also come across where you're like, I can't take this energy on.

• 1:11:39Jen Cohen?

  Yeah.

• 1:11:39Speaker 00

  And

• 1:11:40Jen Cohen?

  Oh, my God, yeah.

• 1:11:41Speaker 00

  You know, and it's and when you're working on people, it's it's a it's on another level. It's their face. It's what they see every day, you know, and and walking them through it. It's it's a very emotional journey.

• 1:11:58Jen Cohen?

  Do you think that since COVID, right? Because everyone got so used to a looking at themselves on Zoom?

• 1:12:05Speaker 00

  Yeah.

• 1:12:06Jen Cohen?

  Right? And and of course, the, you know, the popularity of social media in general. Two questions. Do you think that your business has become even more popular? Has it skyrocketed? Have you seen like a like a surge in business because of it?

• 1:12:22Speaker 00

  No, I it was. It was a steady increase.

• 1:12:25Jen Cohen?

  Really?

• 1:12:25Speaker 00

  Where we saw this surge was in plastic surgery.

• 1:12:28Jen Cohen?

  Yeah, well, for well, I'm I'm saying if people couldn't afford plastic surgery or they were scared or they didn't do whatever the reason is, I would think that both industries would have just like just skyrocketed.

• 1:12:38Speaker 00

  Uh, it did it a little bit in the first year, but then it kind of plateaued. And I I think we're we need to look at it differently. You know, I I think we're so on this trend.

• 1:12:51Jen Cohen?

  Yeah.

• 1:12:52Speaker 00

  Where I think we need to go back and like, okay, this is, we need to do healthy habits of treating our skin and taking care of ourselves and looking at it more like that.

• 1:13:02Jen Cohen?

  The glaze style.

• 1:13:03Speaker 00

  Yes, then, okay, I'm gonna get that treatment. I'm gonna go do this. I mean, I can't tell you how many people are like, I want to calling, can I just can I just get this? Can I just get the ZERF? Can I just? And just like, hold on.

• 1:13:15Jen Cohen?

  Really?

• 1:13:16Speaker 00

  Why are why are we doing that? Or like microneedling. I one time I um a thirty in their thirties, she was so broken out and she booked for microneedling and I go in there and I hadn't met her before. I'm like, I am not doing microneedling on you. And she was so upset with me. I go, if I do microneedling on you, I'm going to spread the bacteria and you're it's gonna be a nightmare.

• 1:13:36Jen Cohen?

  Yeah.

• 1:13:36Speaker 00

  But it's like it's common sense, right?

• 1:13:39Jen Cohen?

  Right.

• 1:13:39Speaker 00

  Um, where well, the interesting thing is when I went to Korea, it is a lifestyle. It's a it's a it's a little extreme, but it is.

• 1:13:47Jen Cohen?

  It's paid for there too, right?

• 1:13:48Speaker 00

  I don't think so.

• 1:13:49Jen Cohen?

  I thought it was. I thought that like part of the whole thing is like it's built in, integrated into their like healthcare and their lifestyle, that like they get a certain amount of dollars or that's what I saw on

• 1:14:03Speaker 00

  I don't I I don't know that. I don't know that, but it is a complete lifestyle.

• 1:14:07Jen Cohen?

  Crazy lifestyle.

• 1:14:08Speaker 00

  Mm-hmm.

• 1:14:09Jen Cohen?

  The also, one other question was filters, you know, because everyone's using filters. People have a distorted idea of what they look like.

• 1:14:18Speaker 00

  Yeah.

• 1:14:19Jen Cohen?

  Right?

• 1:14:19Speaker 00

  It's it's sad. It's sad because they'll come in and they'll show me pictures. I'm like, that's filtered. That's filtered. You can't get that. So it it's having this self, it's so insecure and self degrading because it's like, no, we we need to be human.

• 1:14:36Jen Cohen?

  Yeah, because no one's using it because nobody's everyone is no one knows what they look like anymore. So when they actually look at themselves in the real mirror, they're horrified.

• 1:14:46Speaker 00

  Yes.

• 1:14:46Jen Cohen?

  Because they don't even realize it. So I'm like, how often, I mean, I I don't recognize half the people I see.

• 1:14:52Speaker 00

  Yeah.

• 1:14:53Jen Cohen?

  You know?

• 1:14:53Speaker 00

  Well, sometimes like when I do this and I'm looking, I'm like, don't do that.

• 1:14:57Jen Cohen?

  Yeah, yeah, yeah, yeah.

• 1:14:57Speaker 00

  And I have told people, I'm like, stop looking in the mirror. Stop.

• 1:15:01Jen Cohen?

  Yeah.

• 1:15:01Speaker 00

  I've had to tell them because, yeah, I hardly look in the mirror anymore. I you know, I I'm so busy in the day and we're gonna look, okay, do I not have food in my teeth?

• 1:15:10Jen Cohen?

  Yeah, exactly.

• 1:15:11Speaker 00

  But I just, we have to get into a healthier way of looking at ourselves and I'm in this industry. But it there has to be a balance.

• 1:15:20Jen Cohen?

  You don't have the you don't feel pressure to look a certain way because of what you do?

• 1:15:24Speaker 00

  Yes and no. Like, I I mean, I I never want to look crazy. Um, obviously, you know, I'm turning fifty this year and it's it's a harsh reality, but you know, as my sister says, it's better than the alternative.

• 1:15:40Jen Cohen?

  Right, exactly. She's right.

• 1:15:42Speaker 00

  And I'm thankful, but yeah, it's going, you know, do I believe in facelifts? Absolutely. I'm going, oh, my God. What am I gonna need a facelift? Am I gonna, you know?

• 1:15:51Jen Cohen?

  But you look pretty amazing.

• 1:15:52Speaker 00

  Well, thank you, but I just I'm just you do. You do feel that pressure, especially I have very young patients and I feel like, oh, my God, if they knew my age, are they gonna look at me differently?

• 1:16:03Jen Cohen?

  I know, but I would be like goals. Like, if I was someone who's like thirty, I would be like, I want to look like her.

• 1:16:08Speaker 00

  I mean, like, I could be their mother.

• 1:16:09Jen Cohen?

  Yeah, I know, but like, but they're going to because you're like the OG and you're a pioneer and and they're also like if they age like you, I can pretty much guarantee half those people you see who are thirty will not look even a fraction as good as you do right now when they're fifty.

• 1:16:25Speaker 00

  Well, I think everyone's starting earlier. I mean, back when, you know, they always comment on the Golden Girls.

• 1:16:31Jen Cohen?

  Yeah, oh, my God. I love that whole thing, that meme. I know.

• 1:16:34Speaker 00

  And they compare us and we're looking younger and younger.

• 1:16:39Jen Cohen?

  We are.

• 1:16:39Speaker 00

  Yeah.

• 1:16:39Jen Cohen?

  Crazy.

• 1:16:40Speaker 00

  Yeah, but I want to remind everyone of something, you know, aesthetic med. I like calling it I don't love love saying med spa because it just there's so many med spas now and I get I like to call it aesthetic medicine because it is a new chapter in medicine and it is serious. Complications can happen. You are dealing with people's faces and bodies and you can damage them. You can damage their image and how they perceive themselves and how they look at themselves every day. And so I think we need to take it more seriously.

• 1:17:11Jen Cohen?

  Yeah.

• 1:17:11Speaker 00

  I have so many people coming to me and saying, how can I get into this field? I just want to go to, you know, nursing school and and just go right into aesthetics. And I tell them, go work in the hospital for a year because you learn so much as an advocate for a patient and thinking differently than when you go straight into aesthetics.

• 1:17:32Jen Cohen?

  Yeah.

• 1:17:32Speaker 00

  Uh, what I have learned, when I used to work in ICU, I I have brought that to what I do now and how I think prior to a a treatment, I actually think what is before I inject someone or before I do laser, I'm like, what is the worst thing that can happen? Always comes to my mind. How am I gonna prevent the worst thing happening right now? And you have and you have to think that way because when you let your guard down, that's when things happen. Or when you don't listen to your gut, that's when things happen. And there's been a few times where I have not listened to my gut and sure enough, I was like, damn it.

• 1:18:05Jen Cohen?

  Really?

• 1:18:06Speaker 00

  Yeah.

• 1:18:07Jen Cohen?

  So like people who work for you because you're only one person, what's their bad like what do you look for when you hire somebody?

• 1:18:13Speaker 00

  It takes me a very long time to I like I just hired a nurse and I think I hadn't hired a nurse in three years.

• 1:18:20Jen Cohen?

  Really?

• 1:18:21Speaker 00

  Yeah, so I've interviewed multiple and I was like, nope, nope. And so now I meet them. It's it's like first instinct.

• 1:18:31Jen Cohen?

  Right.

• 1:18:31Speaker 00

  Nope, that's it. That's it. And then I see their work. I have them maybe do my botox.

• 1:18:37Jen Cohen?

  Right.

• 1:18:38Speaker 00

  Um, so I can see how their bedside manner is. I have them shadow me and see how much they're stepping over my toes in that shadow moment.

• 1:18:46Jen Cohen?

  Yeah, yeah.

• 1:18:47Speaker 00

  In a good way, in a bad way, and how they're reading people because this is about bedside manner too.

• 1:18:54Jen Cohen?

  Mm-hmm. Oh, my God. One hundred percent. And also, I think you said something earlier that's so accurate, like people walking in there, they don't know what they don't know. They want to look, they're like, I want to look great, but they don't know how to look great. And they're like saying they saw something online. They're like, give me the ZERF, give me this. And you're like, that's not even what you need.

• 1:19:10Speaker 00

  Right.

• 1:19:10Jen Cohen?

  I bet you people leave all the time like angry because you won't do something on them.

• 1:19:14Speaker 00

  Yeah, or like they had a call, they had something and I was like, no, I'm just doing a consult today.

• 1:19:18Jen Cohen?

  Yeah, yeah, yeah, yeah. And they're like, I want it now or whatever.

• 1:19:21Speaker 00

  Yeah.

• 1:19:21Jen Cohen?

  Yeah, you really are thoughtful that way, very different than a lot of people because it's not a money grab. Where because it's so popular now, I think people are just doing these things without with people who don't even need them, they, you know, all the things. And that's not how you operate.

• 1:19:38Speaker 00

  Yeah.

• 1:19:39Jen Cohen?

  You know, that's not your business model.

• 1:19:41Speaker 00

  It isn't. And and for some companies, it's been great. You know, you know, like, there's been uh Laserway. They they did a great job. They were the first ones on the market. They did hair removal. Good, you know, kudos to them, but that wasn't my, that's not my business business model.

• 1:19:56Jen Cohen?

  It's not. Also, they do more like hair removal stuff.

• 1:20:00Speaker 00

  Yeah, yeah, yeah.

• 1:20:00Jen Cohen?

  Do you guys even do that there? I don't even know.

• 1:20:02Speaker 00

  We do it. It's because one of my machines can. And so if someone doesn't want to go somewhere else, but I don't advertise it.

• 1:20:07Jen Cohen?

  Oh, yeah. Okay, like what what are the sir? I mean, besides the lasers, the botox, I mean, you do something with the body, though. I don't remember.

• 1:20:14Speaker 00

  And I have everything on my website.

• 1:20:16Jen Cohen?

  Yeah, what's the website? Tell people where they can look at it.

• 1:20:18Speaker 00

  Skinthesisinc.com. Our Instagram is also Skinthesisinc. We try to show you know, our actual procedures. So then when we explain them and we have a consult that they can visually see it being done. And we we're trying to be more educational on our social media.

• 1:20:34Jen Cohen?

  Yeah, it is actually. You can do a good job.

• 1:20:37Speaker 00

  Good.

• 1:20:37Jen Cohen?

  Yeah, you're welcome. All right, I guess we could wrap. It's been like hours already. I'm like, oh, my gosh.

• 1:20:42Speaker 00

  What day it is?

• 1:20:43Jen Cohen?

  I know. I mean, you're probably like, oh, my God, you weren't expecting this long, were you?

• 1:20:47Speaker 00

  No, I'm fine.

• 1:20:47Jen Cohen?

  You'd be here for like an hour, but

• 1:20:49Speaker 00

  I'm totally fine.

• 1:20:50Jen Cohen?

  Okay, this is Melissa. She is the founder of Skinthesis. She is wonderful. And I think you gave us a lot of information, even though most of the answers were, it depends. Well, it depends.

• 1:21:00Speaker 00

  I'm sorry.

• 1:21:01Jen Cohen?

  On the skin, but that's actually good, though. So it's not like a one size fits all.

• 1:21:05Speaker 00

  No.

• 1:21:05Jen Cohen?

  Okay, good. Um, so check her out on Instagram and she has, you have two, right? You have Melissa, what's your first?

• 1:21:13Speaker 00

  Yeah, so Melissa H underscore NP is my personal.

• 1:21:17Jen Cohen?

  Right, and then the Skinthesis.

• 1:21:18Speaker 00

  Yeah.

• 1:21:19Jen Cohen?

  Yeah. Well, thank you so much for being here. This was very informative. Thank you for being here.

• 1:21:23Speaker 00

  I'm sorry I wasn't more precise.

• 1:21:24Jen Cohen?

  No, it's okay. I I like I said, like, you're a true professional. You're not. You don't just play one on on Instagram. So, you know, you have your answers are more elaborate. That's good. All right, guys. Thank you so much and bye.