Medspa Mayhem Dr. Kate Dee

Krysta Carson, also known as Disfigured Beauty, shares her traumatic experience with dermal filler that led to disfigurement. She had been getting filler injections for five years without any issues until the last injection in 2020. After the injection, she experienced numbness and tingling on the left side of her face, which worsened over time. Her face turned black, blistered, and eventually, a portion of her nose fell off. Krista now uses prosthetics to cover the disfigurement. In this conversation, Dr. Kate Dee and Krysta Carson discuss the complications Krysta experienced after receiving a filler injection. They talk about the specific filler used, Radiesse, and its risks. Dr. Kate explains the importance of using dissolvable fillers and having the necessary tools and knowledge to treat complications like vascular occlusion. They also discuss the lack of proper informed consent and the challenges of malpractice lawsuits. The conversation highlights the need for patients to choose qualified and knowledgeable injectors.
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Connect with Krysta on Disfigured Beauty
Read the Daily Mail article (warning: graphic images)
 
Takeaways
Dermal filler injections can have severe complications, including vascular occlusion, which requires prompt and appropriate treatment. This complication can lead to scarring and disfigurement.
Reconstructive surgery or prosthetics may be necessary to address the disfigurement caused by dermal filler complications. 
Using dissolvable fillers, like hyaluronic acid fillers, is important to minimize the risk of complications like vascular occlusion. 
Proper informed consent should include a thorough discussion of the risks and potential complications of filler injections.
Choosing a qualified and knowledgeable injector is crucial to ensure safe and effective treatment.
Malpractice lawsuits for filler complications can be challenging to win due to the difficulty of proving a violation of the standard of care.
The aesthetics industry lacks regulation and enforcement, making it important for patients to be informed and advocate for their own safety.
 
Chapters
00:00 Introduction: Krysta Carson's Experience with Dermal Filler
01:09 Choosing the Doctor and Clinic for Dermal Filler Injections
05:46 Treatment Attempts and the Loss of a Portion of the Nose
21:56 Finding Hope and Confidence with Prosthetics
22:44 Complications and the Need for Specialized Treatment
24:06 Understanding Radiesse and Vascular Occlusion
25:29 The Importance of Informed Consent and Injector Preparedness
29:14 The Impact of Complications on Personal and Professional Life
43:03 Challenges of Pursuing a Malpractice Lawsuit
 

In this episode of Med Spa Mayhem, Dr. Kate Dee interviews Brad Adatto, a healthcare attorney, about the basics of med spa law. They discuss the definition of a med spa and what constitutes the practice of medicine. They also explore who can practice medicine and who can inject Botox or perform medical procedures. The conversation touches on the concept of corporate practice of medicine (CPOM) and the use of Management Service Organizations (MSOs) in the med spa industry. They highlight the importance of understanding the law so you don’t fall victim to illegal practices, which have become so common in the US.
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Takeaways
Med spa law is complex and varies by state, but in every state the practice of medicine is highly regulated.
The practice of medicine includes any procedure that affects living tissue, such as freezing fat, burning fat, piercing the skin, or providing a diagnosis and treatment plan.
Physicians are typically the only ones allowed to practice medicine independently, but they can delegate certain services to other healthcare professionals, such as physician assistants and nurse practitioners.
Corporate practice of medicine (CPOM) laws prohibit corporations from employing doctors, and the specific regulations vary by state.
Management Service Organizations (MSOs) can be used in the med spa industry to handle the business side of the practice while ensuring that medical decisions are made by licensed professionals.
Enforcement of med spa laws varies by state, but unauthorized practice of medicine is typically a felony and can lead to arrests and legal consequences.
Consumers should research and ask questions about the credentials and compliance of med spas before receiving any treatments to ensure their safety.
 
Chapters
00:00 Introduction and Background of Brad Adatto
07:01 Hierarchy of Healthcare Professionals in Med Spas
08:55 Case Study: Patient's Death in a Med Spa
13:51 Understanding the Corporate Practice of Medicine
18:34 Unauthorized Practice of Medicine
20:33 False Advertising in Medical Spas
23:09 Management Service Organizations (MSOs)
28:40 Enforcement of Laws and Regulations
 

In this conversation, Dr. Kate Dee and Joe Amaral discuss the topics of SEO and SEM, specifically focusing on Google and its algorithms. They explain the difference between organic search and paid search, as well as how Google determines authority and ranks websites. They also discuss the challenges of AI-generated content and the constant changes in Google's algorithm. Joe Amaral highlights the benefits and drawbacks of using paid ads, including the potential for deceptive practices. They also touch on the topic of SEO sabotage, where competitors use toxic backlinks to negatively impact a website's search rankings.
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Takeaways
Google's search engine results page (SERP) displays both organic search results and paid ads, which can be identified by the 'sponsored' label.
Organic search results are determined by Google's complex algorithm, which considers factors like authority and relevance.
Paid ads can be a useful tool for businesses to gain exposure and reach their target audience, but they can also be used in deceptive ways.
Google's algorithm is constantly evolving, and it can be challenging to keep up with the changes and ensure high search rankings.
SEO sabotage is a malicious tactic where competitors use toxic backlinks to negatively impact a website's search rankings.
It is important for consumers to be discerning when evaluating search results and to do their homework before choosing a service provider in the aesthetics industry.
Chapters
00:00 Introduction and Background
07:02 The Importance of Organic Search for Consumers
14:22 The Benefits and Drawbacks of Paid Ads
29:32 SEO Sabotage
37:27 The Role of Education
 

Dr. Kate Dee and Becky Hsiao discuss the recent headlines about fake Botox - “faux-tox” - sending patients to the hospital and the regulatory aspects of medical devices and pharmaceuticals. Becky, a regulatory attorney, explains the complexities of ensuring the safety and effectiveness of drugs and devices. Fake Botox cases have been reported in multiple states, causing harm to patients.. It is important to be cautious and seek treatment from licensed professionals. Counterfeit Botox is easily available online, with websites like Alibaba selling fake products.
The conversation discusses the high cost of Botox treatments and the prevalence of counterfeit and illegally imported Botox. Counterfeit products may contain higher concentrations of toxins than expected and can be dangerous, leading to botulism. Illegally imported products may have unknown storage conditions and expiration dates, posing safety risks.
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Medspa Mayhem web site
Takeaways
Fake Botox has been making headlines recently, with many people being sickened with botulism. The incidents have been covered in the news, raising awareness about the dangers of fake Botox.
It is important to be cautious and seek treatment from licensed professionals. Counterfeit Botox is readily available online, with websites like Alibaba selling fake products.
Detecting counterfeit Botox can be challenging, as the packaging and colors may resemble the real product.
Counterfeit products may contain higher concentrations of toxins than expected and can be dangerous, leading to botulism.
Illegally imported products may have unknown storage conditions and expiration dates, posing safety risks.
There is limited recourse for individuals who experience issues with their treatment using these products. There are instances where Botox is illegally imported or purchased
This practice is not legal and can lead to complications. People buy fake Botox because it is cheaper than the real product.
Botulism is a rare but serious illness caused by the bacteria Clostridium botulinum. It can paralyze the muscles in the body, including the diaphragm, leading to respiratory failure and death.Symptoms of botulism include heavy eyelids, difficulty speaking and swallowing, and  muscle weakness.
Choose a qualified provider for cosmetic procedures
Ensure the provider is operating legally
Confirm the type of toxin being used. Check the vial for English labeling and holograms
The FDA-approved toxins in the United States are Botox, Dysport, Jeuveau, Daxxify, and Xeomin Pricing in the aesthetics industry can vary based on location and overhead costs.
Extremely low prices may indicate subpar quality or unsafe practices.
It is important to consider the qualifications and experience of the medical professionals providing the services.
Having open and informative conversations with medical professionals can help make informed decisions about aesthetic treatments.
 
Chapters
 
00:00 Introduction and Background
07:09 Challenges in Detecting and Enforcing Against Counterfeit Botox
13:05 Seeking Treatment from Licensed Medical Professionals
20:56 Identifying Counterfeit Botox
 

In Part 2 of our conversation about medspa terminology, Dr. Kate Dee and Dr. Desiree Otto discuss various common terms related to skincare and aesthetic treatments. They cover topics such as dermal fillers, including the difference between Botox and filler, common filler complications like duck lips and pillow face, the use of hyaluronic acid in fillers, and the role of growth factors and exosomes in skincare. They also explain the difference between retinol and tretinoin, discuss the terms comedogenic and non-comedogenic, and clarify the meanings of FDA approved and FDA cleared. Other topics include cherry angiomas, spider veins, sunspots, peach fuzz, and seborrheic keratosis.
www.glowspaseattle.com
www.drkatedee.com
Terms Defined
Spider veins
Sun spots 
Age spots
Cherries
Barnacles
Peach fuzz
Dermal filler
Duck or ducky lips
Pillow face
Chipmunk cheeks
Hyaluronic acid
HA
Vascular occlusion
Occlusion
VO
Migration
Hyelenex
Laughing gas
Microneedling 
RF Microneedling
Ablative laser
Non-ablative laser
IPL 
BBL
Coolsculpting
Emsculpt Neo
Hydrafacial
Diamond glow 
Dermasweep
Medical Grade skin care
FDA-approved
FDA-cleared
Off-label
Exosomes
Growth Factors
Collagen
Elastin
Anti-aging
Retinol
Tretinoin
Comedogenic
Non-comedogenic
 

In Part 1, Dr. Kate Dee and Dr. Desiree Otto discuss basic MedSpa terminology as it relates to Botox and Botox treatments. They explain the different neurotoxins available in the US, including Botox, Disport, Xeomin, Daxxi, and Jeuveau. They define terms like 11s, forehead lines, crow's feet, accordion lines, bunny lines, smokers lines, marionette lines, tear trough, gummy smile, and more. They also discuss the concepts of looking frozen, Spock effect, droopy eyebrow, droopy eyelid, and treatments for TMJ and hyperhidrosis.
Links:
www.glowspaseattle.com
www.drkatedee.com
Terms Defined:
Neurotoxin
Toxin
Tox 
Botox 
Dysport 
Xeomin 
Daxxi (daxxify) 
Jeuveau 
11’s 
Glabella
Crow’s Feet
Forehead lines
Banana roll 
Jelly roll
Tear troughs
Under eye bags
Marionette lines
Bunny lines
Smoker’s lines
Orange peel chin
Accordion lines
Peanut head
Turkey neck
Lid lift
Lip flip
Gummy smile
Frozen
Spock
Droopy Lid
Droopy brow
TMJ
Hyperhidrosis