Nipped and Toxxed Dr. Ashley Robey

Exploring the intricacies of handling challenging patients in surgical realms, Dr. Ashley Robey & Dr. Kelly Killeen delve into categorizing difficult patient types based on behaviors. Topics include managing deceitfulness, mental health issues, non-compliance, and setting realistic expectations for improved outcomes and professional relationships across plastic surgery and other medical scenarios.

Dr. Ashley Robey & Dr. Kelly Killeen discuss their recommendations for skin care. What are the essential products types? What specific products should you seek out?

1:40 Start with a good cleansing regimen

2:46 Nighttime double cleanse

7:08 Moisturizers 

7:30 Spend a little extra on your hyaluronic acid product

11:50 Peptide based rejuvenating products

15:29 Instant topical wrinkle removers don’t work

16:56 Exosomes in skin care

18:55 Hyperpigmentation and dark spot treatments: hydroquinone, tranexamic acids, kojic acid, niacin amide

24:14 Sunscreen

29:37 Antioxidants, vitamin C

30:43 Retinoids: retinols, Retin-A, tretinoin, isotretinoin, adapalene, tazorac

36:39 Eye creams

39:00 Popular Rx-strength skin care lines

41:08 Some price favorable alternatives

46:05 Acne options

Dr. Ashley Robey and Dr. Kelly Killeen tackle the challenges associated with the lack of regulations in the aesthetic and plastic surgery industry.



00:17 More demand for procedures leads to more supply of people performing them

01:50 Medical supervisor at most spas is usually not an expert nor is he/she on site

02:30 Inexperienced providers and bad outcomes: HIV transmission in Albuquerque medspa

7:00 Mixed experience levels of injectors

8:46 Unqualified medical providers doing medical procedures: 2 NPs in Indiana performing liposuction

9:47 PA in Vegas liposuctions independently

12:35 Bad Surgery Plan: 1)phone call with sales person 2) book surgery 3) make travel reservations

13:30 Lipo Chop Shops

19:37 Non plastic surgeons performing plastic surgery

24:17 Board Certified "Cosmetic" Surgeons do not have the same level of training of actual board certified Plastic Surgeons

32:22 Check certificationmatters.org

33:39 Med spa providers resorting to FB to help with medical disasters

35:14 Unregulated products: fillers, botulinum toxins, medications

40:56 Seeking providers that will treat patient as a whole and have the ability to say no

42:35 Some plastic surgeons bend the rules for celebrities and attention

47:22 A physician led team is important for patient safety & plastic surgeons are the expert physicians in the realm of aesthetics

Dr. Ashley Robey and Gavy Uppal, NP cover the latest and most popular peptide therapies that are utilized in anti-aging medicine.

1:04 What are peptides?!?!

4:22 Semaglutide - the uber-popular weight loss peptide

12:46 Mounjaro - newest weight loss peptide

14:57 How we determine what kind of body weight your losing

17:09 You are what you eat, so don't eat garbage

19:21 BPC-157

25:47 Growth hormone

27:36 CJC-1295 and Ipamorelin

29:04 Ghrelin and gremlins?

32:24 NAD+

33:42 What Dr. Kelley said

36:03 Epitalin "fountain of youth"

39:21 Not a peptide, but we still love Morpheus

39:56 Melanotan II, the Barbie peptide

46:22 Skin care peptides

48:12 PTD-DBM - the hair peptide

Dr. Ashley Robey and Alisha Story, Aesthetician, review things that every prospective patient should consider before having a plastic surgery consultation.

01:30 Standard questions you should always ask/know about your surgeon

04:11 Who should come to the consult with you?

05:25 Can I show my surgeon some photos?

07:16 Social medial trends and plastic surgery

08:53 Lies of omission

10:09 Plastic surgery is not a weight loss procedure

11:02 Despite what the AMA says, BMI is a useful tool (it's not racist)

13:07 Smoking and diet

15:40 I'm okay if you meet with another plastic surgeon

20:22 Complete your online paperwork before your scheduled appointment time

22:30 Focus on your top few priorities

25:33 Bring a list of questions you have

28:00 Don't lie to your surgeon

29:42 Optimize health before surgery (e.g. Live Better MD)

31:29 Leave with a plan but also enjoy your time

34:16 Deal breakers in finding the right surgeon

38:01 Get recommendations from surgeon who can offer a full spectrum of services

39:30 Plan ahead & schedule accordingly

41:44 Summary of consult considerations

Dr. Ashley Robey & Dr. Kelly Killeen discuss the world of surgical tourism.

00:21 What is Surgical Tourism

01:48 Why people travel for surgery

02:38 It's always cost

04:08 Who will take care of your complications?

05:27 Life threatening complications

08:28 Shady medical tourism companies

10:01 Faux surgeries

11:07 Non-plastic surgeons doing plastic surgery

20:29 You get what you pay for

22:27 Surgical tourism within the United States

23:16 Safety concerns in surgical tourism

23:52 Anesthesia and in-office surgeries

26:18 Most horrific stories of surgical tourism

28:57 Consider surgeries at teaching hospitals in the US to save $

33:04 Final words: buyer beware