Episode Transcript
[00:00:21] Speaker A: Hey, this is Lacey with Smartcast, and I'm joined today with our very own doctor, Audra Eason. She is one of our injectors at the spoiler, and she is also a longtime client of ours as well.
I guess it's not HIPAA violation, since you're here with me to talk about it as well.
[00:00:37] Speaker B: I give consent.
[00:00:38] Speaker A: Okay, great. So you have a long history of working in pain management. So you've been treating with toxins for a long, long time, and now you're doing it just kind of in a different capacity. So talk to me a little bit about your history with toxin and how that past life has integrated into your new injection life.
[00:00:59] Speaker B: Okay. So going back, I guess, to my residency, which was in physical medicine and rehab, that field of medicine encompasses a lot of different conditions, including a lot of musculoskeletal work, but also into traumatic brain injury, stroke, rehab, et cetera, where there's a lot of contracture management, which utilizes toxins, specifically botox, on the therapeutic side. And then I had some attendings that treated migraines as well, which there is a migraine protocol for Botox.
So long history of Botox use. And of course, along the way, being a young southern woman, I started utilizing it in a cosmetic capacity for myself and just, of course, got interested, started treating my friends when we had toxin available and got interest in that in about five or six years ago, started doing some training, more formal training with Allergan using Botox and fillers, and then really opened the door after that to more interest and seeking more training and just crossing over to this being my primary gig.
[00:02:35] Speaker A: I know, it's so fun. You were still working at your previous job when you first started with us, and now you do this full time, which I think is always fantastic. We have one of our rns worked in medical oncology for many years and started with us part time. And then before we knew it, she was with us full time, and she loves it. And her children can tell such a big difference in her demeanor and her happiness at home. Just because the patients here are so excited to be here and they're here because they want to be, not necessarily because they have to be. It's not that it's not rewarding to help people that need it because they have to have it, but it's just kind of a different experience.
[00:03:14] Speaker B: It is. You know, I'm coming from a patient population that doesn't always take care of themselves the way we know that we should. And I've always been a huge proponent of preventative medicine and non pharmacological management from a. You know, if I have a concern, I'd like to treat it more holistically, try to prevent issues from occurring rather than being retroactive or reactive, rather.
So it is a nice change from what I'm coming from previously.
[00:04:04] Speaker A: Yeah.
Peyton and I, our ma went to scale last week in Nashville, and there were lots of different slide decks from different prisoners, and one of them was on treating toxin complications or people that had asymmetry in their musculature and how you can treat that with toxin. And I found that so fascinating. But it sounds like you've been kind of doing that for a long time anyway.
[00:04:26] Speaker B: Oh, yeah.
[00:04:27] Speaker A: So how was that, to see those slide ducts in comparison to how you've kind of been doing that for a long time previously?
[00:04:36] Speaker B: Yeah, that's. You know, that's the. That's a really interesting piece of it.
I watched those slideshows that you. That you sent from scale, and it really resonated with me because cervical dystonia, for instance, that's a. That's a huge contributor for a lot of patients with. With neck pain, and it really is.
It's not algorithmic. You really do have to look at an individual patient and say, okay, you know, this is. We're not. We're not doing 20 units of toxin on both sides. We have to look at what. What each side is giving us and.
[00:05:21] Speaker A: To create the balance and symmetry.
[00:05:23] Speaker B: Exactly. Exactly.
[00:05:25] Speaker A: So, speaking of cervical dystonia, there's a lot of talk in the community about toxin and creating resistance to it. And down the road, if they needed a toxin to treat things like cervical dystonia, that they may not be able to use that as an option, kind of. What are your thoughts on that? And I'm seeing a lot of the other toxins creating a longer lasting treatment result by doing the longer duration injectables so that they're not coming in as frequently. In your experience in the past of seeing patients for things like that, did you see people creating resistance to it, or. What's your overall opinion on that?
[00:06:03] Speaker B: I don't know that I have ever witnessed that myself, other than the literature that I've seen presented, but it is really fascinating, and I think that it has me leaning towards those more purified toxins when we can, or taking a toxin holiday drug holidays or something that is done in many different realms of medicine.
So that all is with the forward thinking that we need to keep people sensitive to these toxins. And it sounds like some of these other companies are following suit as far as getting a more purified form of their toxin, or also the ones that have the more purified form. I think they're also trying to get into the therapeutic realm, which is nice, because if we can prevent that resistance to maintain those treatment avenues for various things, certainly that's what's best.
[00:07:12] Speaker A: Yeah, I know that Daccify just recently had a soft launch of their therapeutics, and then they've kind of rolled it out over the last couple of weeks, and I think that that's going to be really successful for them. And I'm glad to know that there are more purified forms for therapeutic side, too.
[00:07:27] Speaker B: Mm hmm.
[00:07:28] Speaker A: So you are getting ready to start offering semiglutide with our practice as well. How's that going? Tell me your initial thoughts on that. I know you had sent me a podcast on that in the beginning, and that was really good information and exciting to see some of the things on the semiglutide that I didn't even really realize were a thing.
[00:07:49] Speaker B: Right. Right.
[00:07:50] Speaker A: So tell me what you're most excited about with semiglutide and what you're seeing.
[00:07:55] Speaker B: One of the things that that podcast mentioned, and just a little background, it was a, was one of the chief scientists that worked on the semaglutide research.
That was the speaker on this podcast, and he talked about that not only does it alter your glucose breakdown in mechanisms, it also does something, and I don't remember the science behind it, that actually resets the cellular mechanisms and makes your cells more efficient.
And that's been, that was one of the fascinating things behind it.
I actually started listening to that podcast thinking he's going to convince me that this is a bad idea, that we, that, again, you know, medicine is not always the, the best option, and, and we shouldn't be using medications when we could just be using diet and exercise, but I left that listening to that expert talking about it, and I was, I was ready to prescribe it. I was ready to be on it. I was gung ho about it.
So, really, really interesting pharmacology. I feel like the line of medications has been out long enough to where we have a body of evidence for long term use, potential complications, to where it feels more and more comfortable all the time.
[00:09:41] Speaker A: Yeah, I agree with that. And even in the beginning, my husband was super against it and didn't really understand it and thought that it was not safe and didn't understand why people would use this as an option to where today, if you ask him what his thoughts are on it, he would feel comfortable doing it himself. So I think that the science and the data have come out to where people that were really suspicious in the beginning are a lot more on board now. I personally used it just because of all of the inflammation that was in my body, and it reduced dramatically the inflammation in my body. And even being off of it and then kind of just going on it a little bit as needed has helped reduce the inflammation in my body tremendously. And that's made a huge difference for me.
[00:10:27] Speaker B: And that makes a lot of sense, because even though you were certainly not ever overweight. Right.
The fat cells, adipose tissue is actually pro inflammatory. That's something that I've talked to thousands of patients about through my years in spine and joint care, that not only are we talking about mechanical issues, but your adipose tissue, your fat cells, are actually pro inflammatory. So your knee, for instance, is seeing a lot more of the force of excess weight, but it's also seeing the inflammation that your body is maintaining and producing through that tissue. So that makes a lot of sense. I've also talked to patients that have said it helped mobilize fat in my hard to lose areas. So we all have fat distribution.
Our fat distribution is somewhat genetic or largely genetic, and we lose and gain weight in a pattern. For me, I lose weight from my face down. Some people are opposite or carry more of their weight in their middle, for instance.
[00:11:56] Speaker A: But I'm like, I lose it from my face down.
[00:12:00] Speaker B: So we all have those tough to lose areas that just don't seem to mobilize like other areas.
So that's a really interesting potential piece, is that it may be more global than our typical genetic weight loss trend.
Trend not being fad, but I would agree with that.
[00:12:25] Speaker A: I feel like I definitely lost it more in my legs and hips than I typically would if I just were losing weight on my own.
[00:12:34] Speaker B: Right. Right.
[00:12:35] Speaker A: So I didn't ever really even think that that was a thing. So that's pretty interesting to find out. That, too. And then. So what about they're saying, too, that it potentially is helping people with addiction?
[00:12:49] Speaker B: Well, I think that that may go back to that resetting of the cellular mechanisms. Now. I mean, certainly I've done a lot of cellular biology in my academic years, but I I can't tell you what those mechanisms are, but it's enough to where it's something that they are reporting it, because it's not just a one off, it's something that they're seeing consistent, some type of genetic expression that it's able to reset.
[00:13:24] Speaker A: Yeah, I mean, I would say that I definitely crave coffee less. I crave wine less, for sure. So, I mean, maybe it's not that way for everybody, but for me personally, it was. And I didn't even drink that much coffee or wine, but I want less.
[00:13:42] Speaker B: Right. The biggest. Yes. The mental aspect of it, the what my sister has described it as quieting the food noise.
And that's just that constant. What are we going to eat? What are we going to do next? What can I have next?
So that's a really, really interesting piece of it, too.
[00:14:10] Speaker A: Yeah. I would love to see them be able to utilize that in treatment somehow for people in the future going forward.
[00:14:16] Speaker B: Absolutely. Absolutely.
[00:14:19] Speaker A: And then another thing that I am, like, obsessed with is the Derma PRP.
I love the Derma PRP. I think it is such a great thing for us to be able to offer for our patients, especially people that have autoimmune disorders, or they just want something that's super natural, but they need some volume and they need some, like, collagen stimulation, but they want it to be something that doesn't have any additives or synthetic products in it. So talk to me a little bit about the DermaPRp and where you enjoy injecting that the most.
[00:14:55] Speaker B: Oh, I'm very excited about DermapRP, and we've used it a bunch already. I've watched tons of videos about the different areas that we can target.
It is a really exciting product, first and foremost, because one of the things they say on the videos is it's a filler for people who don't want filler.
We all know the horror stories that we see them in celebrities that have overdone it. And now there's this huge movement in Hollywood to get fillers dissolved because they have overdone it well. So, number one, for our patients to know that is actually very, very hard to achieve that, and it is not overnight. It's not one visit with your assessment injector. It is maybe dozens of visits. And them trying to upsell you, well, that's not our goal.
We want a very natural, beautiful look that really, maybe nobody even knows that you had something injected.
DermaprP is an autologous volumizer.
Primarily. It's actually a luminizer. So it enhances your skin quality and integrity and glow.
And it is a fully integrative filler. So the thought that AJ's can actually hang around longer than we actually know about this is your body's own product.
We draw it the day of your visit, spin it down, and prepare it specifically for that patient, obviously. And it is injected into the places that we think needs some extra luminous qualities. And the volume is actually a secondary piece, so volume can be improved.
[00:17:12] Speaker A: Happy accident, right?
[00:17:14] Speaker B: And we can chase that with subsequent, with a series of injections.
But it is not going to be a robust volume that you see with an ha filler or even the calcium hydroxyapatite fillers.
So it is a much smoother product.
The eyes are an easy answer to, you know, where it is best at.
But neck, hands, lips, lips, Bbl, you know, that it really is.
It is such a. Such a versatile product that I just. I think we could pretty much target anywhere the patient would like us to.
[00:18:06] Speaker A: They say you can put it anywhere from the top of your head to.
[00:18:09] Speaker B: The tip of your toes.
[00:18:11] Speaker A: I mean, like, it would even be something that people that struggle with laxity in their earlobes. It can regenerate the skin tissue there as well. My favorite place that I've been injected with it is in my lips, because it brought that pretty pink, natural, healthy color back to my lips, even if I don't have lip gloss on it. Used to be a little bit blanchy from having ha lip filler in there before, and now it's brought that pretty pink color back because it's a bio stimulator and it creates new blood flow. And so, and especially, too, if people have had ha fillers, even in their cheeks or other areas, that can sometimes restrict blood flow a little bit. And this is regenerating that blood flow back to the area, too, which has been really nice because I was getting toxin in my masseters, because I carry a lot of stress in my jaw. And so I'd gotten a little bit of a deficit in my jawline. So we did some dermaprp. And what is this area called right here?
[00:19:11] Speaker B: The parotid.
[00:19:13] Speaker A: Like the area that we treated, the Dermapr right in here, where I kind.
[00:19:17] Speaker B: Of had a deficit, like, over your mandible.
Yeah.
[00:19:20] Speaker A: So that I had, like, a little sunken in area right there and then. So we did Dermaprp there. We did Dermaprp in my tear troughs and in my lips, and then we used the 22 kit. So we got lots of syringes out of that one. So we put the rest of it in my booty for a BBL, which was really fun. So I'm excited in 90 days, post procedure, to see how that turns out for me.
But it's a really great product. And what I also love about it is that literally within 20 minutes, all the swelling, for me was gone.
[00:19:53] Speaker B: Right.
[00:19:53] Speaker A: So the swelling component of it is very minimal. And then you guys did use a cannula as well. So no bruising or anything too.
[00:20:04] Speaker B: And the great. The bruising, too. You know, one of the reasons that it is, the cannula certainly helps with that. But we're injecting your own platelets. I mean, what do platelets do? They stop bleeding. So they, you know, the bruising has really been. One of the remarkable pieces of it is that there's really, besides that first day swelling, there's really no downtime aspect to it.
[00:20:32] Speaker A: And correct me if I'm wrong, but I'm pretty sure that I was under the impression that there's zero risk of occlusion, of vascular occlusion with this as well.
[00:20:39] Speaker B: I think any time you're in sensitive areas with a product that is thicker than saline or water, there is a risk, but there have been zero incidences in the company's body of evidence, body of use. That's pretty good odds. That is very good odds. That is very reassuring.
[00:21:03] Speaker A: Yeah. So have you personally done anything radiesse, hyper dilute, and then layered on top of that for a little bit of biostimulatory volume with the DermapRP?
[00:21:16] Speaker B: I have not done those in combination, but I think that that would be a great combination.
I would not do them in the same visit.
And they really want to use the DermaPRP in isolation, just to let it cook and do all of its good work because of the physiologic ph that you want to maintain with that product.
But I think that those would be very complementary products.
[00:21:52] Speaker A: And then I think, too, for dark circles under the eyes, like, there's nothing better than DermaPrP just because it is creating that new blood flow and collagen elastin stimulation. Just going to give you that brightness underneath your eyes.
[00:22:08] Speaker B: Absolutely. And to remember that it is not a volumizer. And that's really what you don't want a volumizer under the eye. You don't want fullness. You want that improved skin integrity and that glow and the luminosity that you get from DermaPrp.
[00:22:30] Speaker A: I mean, it really is. I can tell a difference in the brightness of my skin after having this treatment. And I think that's what people really do like about the Dermapr, as well, is that it really is a treatment. You're not just getting an injection of a filler. You're getting a volumizer with a luminosity to your skin.
[00:22:51] Speaker B: Absolutely.
[00:22:52] Speaker A: So I really have enjoyed my results so far. And all of our patients that we've treated with DermapRp really like it too. I've heard nothing but good feedback about it so far.
[00:23:03] Speaker B: Great.
[00:23:05] Speaker A: That's exciting.
And then, so we're having a special event on next Tuesday.
We are having, it is a joint event where it is Skin Medica's 25th birthday. Happy birthday, skin medica.
And we are going to be doing. They've got double alley points that day from Skinmedica. We're gonna be doing $10 toxin all day long. We're doing $50 off one syringe of filler, I think $100 off two, and then a free TNS with any three syringes of filler. And then anybody that gets injected that day will also be able to get 25% off of any skin Medica product.
And it is our welcome back party for doctor Jodi Lynn. She has been out on maternity leave, so it is our oh, baby, she's back event. And we're gonna have you and Doctor Jody will be there almost all day long. You will be there all day long. She will be there from one to seven, I believe.
So we've got just a few spots left. So if you're wanting to take advantage of these fantastic specials, call or text our office so that you can get on the schedule to see one of our amazing doctors and get injected that day.
And then we'll have those specials for skin medica as well, which we're super excited about. We love skin medica. They're great partners, and their skincare is amazing. T and s is one of my favorite skincare products ever.
And then the instant bright paired with Dermaprp would be a great combination, too.
[00:24:38] Speaker B: Yeah. Yeah. And their new, their new acne line, which is very exciting.
[00:24:43] Speaker A: It is so good. My 13 year old is on it, and she uses the cleanser and the serum every day, morning and night. And then she comes in, like, once a month or once every six weeks and gets the diamond glow with the pore clarifying serum with it. And it just has made just a complete difference in her skin from using that. She loves it and she's compliant with it because she can tell that there's a difference in her skin, which is really good. And I think we fight over the pore clarifying cleanser. I can see it traveling from, like, the shower to the bath to the sink in Isabella's bathroom. And, like, we don't have access to more of them. But this one bottle just, like, travels around. It's a little traveling face wash, but it's good. We really like it a lot. And I mean, pretty much everything that skin medica does is knocks it out of the park every time.
[00:25:33] Speaker B: Yeah, I agree. But.
[00:25:36] Speaker A: Well, thank you so much for joining me today on our podcast. And give us a call or text the office to get scheduled with us next Tuesday. Or if that day is not convenient for you, Doctor Eason is here. What are the days that you're here now?
[00:25:51] Speaker B: Monday, Tuesday, Wednesday, every other Thursday, every other Friday.
[00:25:55] Speaker A: We got lots of availability.
[00:25:57] Speaker B: Absolutely.
[00:25:58] Speaker A: You can call or text to schedule anytime. Thank you for joining us for today's episode of Smartcast. And we'll see you next week.
