Two Surprising Treatments Winning The War On Cellulite

Speaker 1 (00:07):
You're listening to the La Jolla Cosmetic Podcast.

Monique Ramsey (00:14):
Welcome everyone to the La Jolla Cosmetic Podcast, and I'm your hostess Monique Ramsey. And today I have special guest in the studio, Khanh Nguyen, welcome back Khanh.

Khanh Nguyen (00:25):
Nice to be back, thanks for having me.

Monique Ramsey (00:27):
He's a traveler, if you've listened to our previous podcast. So you were just in Banff on one of your many adventures, how was it?

Khanh Nguyen (00:34):
Yeah, it was very cold. Very beautiful, but very cold. Yeah, we were up in Calgary and Banff for the weekend.

Monique Ramsey (00:39):
Oh, neat. Neat. I've been there once, but it was in the summer, so beautiful also, but not cold. I remember seeing, I think it was a moose just wandering Downtown Banff, just walking down the street, it was just the funniest sight, but it's a beautiful place.

Khanh Nguyen (00:55):
Yeah, very gorgeous.

Monique Ramsey (00:56):
So one of the most exciting things about doing a podcast is if something interesting's happening, we can get together here and interrogate you. So I heard you're having some success with an interesting combination treatment for cellulite, is that true?

Khanh Nguyen (01:10):
Yes ma'am.

Monique Ramsey (01:11):
Okay, so we're going to have the big reveal of what that is, but before we talk about that exciting combo, let's talk about the basics of cellulite, where does it usually appear and when?

Khanh Nguyen (01:23):
Yeah, that's kind of a long winded answer because technically we don't have proof of where it comes from. Genetics plays a role, hormones plays a role, level of activity plays a role, but sometimes you can get the largest of person with cellulite, but you can also get a very, very skinny person with cellulite. So there's no determining factor, but those are some of the things that we think about. From an anatomy standpoint, let's just picture your fat cells inside your body. Women predominantly get more cellulite than men because the fibrous connective tissue or the fibrous area underneath the skin, it aligns differently in men and women.

Khanh Nguyen (02:01):
So now that I'm thinking about this, if you think of like Roman columns, they're stacked vertically up against each other, that's how women's ligaments are built. So what happens is in between those pillars you have pockets of fat, if those pillars pull down too strongly, then the pockets of fat pucker up and you get these little dimples. Men our ligaments are more cross hatched so you don't have these huge pockets of fat that potentially pop up, so that's why you find it more in women. And that's what we're trying to treat is those little ligament rubber bands that are pulling down on the skin causing the dimpling.

Monique Ramsey (02:34):
Interesting, I never knew that. And yeah, because it's like, you never see a guy who has that problem really, or at least rarely. Is it dependent on age at all, or not really?

Khanh Nguyen (02:48):
It can be, again, it's one of those things where it's hard to give a definitive answer because even youngsters in their teenage years will get cellulite. But typically this is the hormone piece, hormones are coming on, they might start seeing cellulite. Whereas when they're younger, they, even though we have more fat when we're younger in regards to the percentage, you don't really see that issue. Post-pregnancy women who are super, super fit will still have cellulite as well. So age does play a role, the hormones plays a role, and then level of activity, and then your BMI plays a role, but it doesn't necessitate, yes, I'm going to get cellulite because of X, Y, Z.

Monique Ramsey (03:22):
Oh, uh-huh (affirmative). And is it ever anything that would get better without treatment? Like say you have cellulite and you think, well, if I do more leg lifts or I start to become a runner, will that help?

Khanh Nguyen (03:37):
Sometimes, again, you're going to hear me say this a lot when it comes to sometimes. So if you have large fat deposits between those pillars, the theory is if we're more fit and active then we will drop those fat pads and then it will decrease our cellulite. However, I'll hear this all the time when we treat women up here for their cellulite, is they tell me I am super fit, super active, the best health I've ever been in and the cellulite is still there, just because you're not really necessarily treating the cause, which is the ligaments, you're treating the symptom, which is the fat cells. And granted, yes, we can reduce it if we work out, if we have a good lifestyle, but those ligament bands are still always present until we treat them.

Monique Ramsey (04:16):
Okay. So let's get into one of the treatments that we've had for a few years, at least maybe five at the center here, which is Cellfina. And so tell us a little bit about what Cellfina is, how it works.

Khanh Nguyen (04:33):
Yeah, so Cellfina is a mechanical way of reducing cellulite, so where we had to come up with a way where you can cut the actual rubber bands that are pulling down on your skin. So that's what Cellfina does, it's an in-office procedure, we've done it in the operating room with a cohort, with one of the surgeons, or I do it as a standalone treatment up here in the Med Spa. So the easiest way to think about this is we mark you first where all the cellulite issues are, mostly the buttocks, mostly the back of the thighs. Rarely do we treat the front of the thighs, because it's not really a cellulite issue in that area, but the back of the thighs, the buttocks, we numb you tremendously, again, it's just an in-office procedure, but we numb the whole area so you don't feel anything.

Khanh Nguyen (05:12):
And then after that we use a Cellfina device, and we take a little oscillating blade or a knife and we go into those specific areas where we see the bands and we cut those bands. Subsequently, by cutting those bands, you're releasing the tension that's pulling down on the skin and then your results, peak results, are around three months.

Monique Ramsey (05:31):
And is that painful to cut those bands, does it hurt?

Khanh Nguyen (05:37):
No. Ironically the worst part of it is actually the part that we put in the lidocaine.

Monique Ramsey (05:41):
Oh really?

Khanh Nguyen (05:42):
Yeah, just because the numbing process takes a while and sometimes lidocaine can burn a little bit going in, but we buffer that pretty well. And then also again, because we're a surgical center, we can give you all the types of pain medications ahead of time if you are nervous or anxiety or low pain threshold.

Monique Ramsey (05:57):
Okay. So you're awake?

Khanh Nguyen (05:59):
Yes.

Monique Ramsey (06:00):
If you're doing it in the Med Spa how long does that procedure take, the treatment?

Khanh Nguyen (06:05):
It depends on how many dimples you have. So we actually count the physical dimples, so the average person I've treated probably anywhere from 20 to 30 dimples. If that's the case, you're usually with us about an hour and a half, maybe two hours.

Monique Ramsey (06:18):
Okay. So you're saying during the treatment they're really not having a lot of discomfort because you're numb?

Khanh Nguyen (06:24):
Yes.

Monique Ramsey (06:25):
Can Cellfina be done at anywhere you have cellulite like your thighs, or is it really more for the buttocks, or where can you treat?

Khanh Nguyen (06:33):
Most people get cellulite in the buttocks and the back of the thighs. Can you get it in the front? Sure. But a lot of times we misconstrue laxity for cellulite. So when we age and everything starts falling south, the skin will fall on itself, almost like a drape sitting on the floor. So we may think that's cellulite, but that's why we have such a long consult when it comes to Cellfina, you come in and you see us and we determine one, is it cellulite or two, is it just laxity of skin. So the front of the thighs typically laxity, versus the back of the thighs and the buttocks is where you get cellulite. So technically yes, you can treat it anywhere on the body, but that's usually where the cellulite occurs.

Monique Ramsey (07:13):
Got it. So what does recovery look like for the patient, they go home and then what?

Khanh Nguyen (07:20):
Yeah. Recovery we just tell people, especially around the summer times when people are in bikinis, give yourself a one month buffer in regards to vacations, looking your best, wearing a bikini, things like that. Now the actual downtime is you'll be sore for about one to two weeks, it won't be anything strenuous, but you can just take Tylenol and that helps quite a bit. And then you'll be pretty bruised for anywhere from two to four weeks, depending on how many dimples we treat. The other part of being up here is we do have a laser that treats the bruising, so if you do get bruised and you're local, you just come in every couple days and we zap it with the laser for the bruising. But in regards to pain and actual downtime, just a little bit of soreness and then just take it easy for a week.

Monique Ramsey (07:57):
So they could, if you have like a desk job, they could go back to work?

Khanh Nguyen (08:00):
Yep.

Monique Ramsey (08:01):
The next day or?

Khanh Nguyen (08:02):
Yep, absolutely.

Monique Ramsey (08:03):
Okay, well that's good. So back to the thigh question, because I think a lot of women have anxiety maybe around their thighs. So is there like a test if you pull up on your thighs that means it's laxity, and is that the same for the inner thighs, could the inner thighs be treated with Cellfina?

Khanh Nguyen (08:21):
Yeah, inner thigh typically that's more laxity. To go back to your question of areas that we can't treat, I forgot to mention this, so the saddlebag area and then also the banana roll, that area right under the buttocks, are typically no fly zones for us, I forgot to mention that. So that fat ring right there actually supports the buttocks, sometimes we'll treat it depending on the patient and how big that fat pad is, but that's usually a no-fly zone for us when it comes to treating Cellfina, we don't want to knock out the support that's holding your buttocks up at the expense of cellulite. So it's something we come together as a plan. The lifting of the skin part, that's one of the tests that we do. So if we lift up the skin gently and the dimples, for the majority of it, goes away, then likely it's laxity. If it doesn't go away, then likely that's cellulite and then we can treat it.

Monique Ramsey (09:09):
Okay. Now, you're kind of known as the threads king at the center, you're the number one provider for NovaThreads in the Southern California, and so I hear that you are using threads in conjunction with Cellfina, so tell us a little bit about that and maybe how you decided to come up with that combo.

Khanh Nguyen (09:31):
Yeah, that kind of circles back to your question, where how do we decide if it's laxity or cellulite? When you get to a certain age likely it's both, so you've had this cellulite your whole entire life, finally we figured out a way to treat it. Now the other piece is the laxity piece, we can treat the cellulite all we want, but if we're not treating the laxity piece, you'll still have that draping effect or that falling effect. So we always talk about treating to completion, using the right tools for the right purpose. So cellulite, we tell people Cellfina, fantastic, we can treat it. But what's going to happen when your skin drapes on itself? So we take that PDO Threads to uplift to give you that strengthening and that lifting and the collagen production that will tighten the area as well. So we're doing reduction of cellulite and then tightening of the skin and mechanical lifting of the skin with PDO Threads.

Monique Ramsey (10:19):
And for the audience who aren't familiar with Threads, what does PDO stand for?

Khanh Nguyen (10:25):
PDO stands for Polydioxanone, so PDO, it came from, or the mechanism, came from surgery roughly back in the 1970s where they use PDS, still stands for Polydioxanone, but they use that as a dissolvable suture for doing open heart surgery. So now we adapted that technology to actually approximate tissue or improve quality of skin.

Monique Ramsey (10:46):
Now, where would you use the threads or just in the areas that are lax, let's say, somebody has cellulite in their buttocks, but then they're kind of concerned about the appearance of their inner thighs or the front of their thighs. Would you be using the threads in the front or back in the back, or does it depend?

Khanh Nguyen (11:06):
Yeah, everywhere. So I treated threads from forehead all the way down to the knees, so this test to change really helps, you guys probably heard me say this all the time, but if you put one finger anywhere on your body, face, neck, chest, stomach, thighs, inner thighs, outer thighs, if you can lift that skin and make yourself happy with one finger, then PDO Threads is a good option. Now, if you are lifting the skin dramatically with both hands pulling as hard as you can to finally get the result that you're looking for, then that's a surgical result.

Monique Ramsey (11:36):
Right. So that'd be a thigh lift or inner thigh lift or some other body lift procedure?

Khanh Nguyen (11:42):
Yep.

Monique Ramsey (11:43):
Okay. So now the threads part, does that part hurt?

Khanh Nguyen (11:47):
Again, no. That one doesn't hurt. It depends on the provider who does it and how they do it. Because I do train nationally for NovaThreads so I see different ways of doing it and I can understand how people read on Google or other forms how painful the procedure is, because I've seen how people numb that area. We numb in a very specific way so you don't feel anything, it's very similar to how we numb with Cellfina, we're just injecting lidocaine throughout the entire area so you feel absolutely nothing.

Monique Ramsey (12:13):
Oh, okay. And then afterwards, is there any specific post op care when you're adding threads to the mix that you want patients to follow?

Khanh Nguyen (12:24):
Yeah. If you're doing threads as a standalone treatment, it's a two week rule when it comes to the body. So for two weeks you have to really, really take it easy, I mean imagine a whole bunch of rubber bands or a bunch of threads sitting in your body. So if you exercise tremendously, you're going to move it and it's going to hurt. If you overly stretch it such as picking up a baby, picking up a box, again, you'll potentially move the threads and also be very, very painful. So you're generally very sore for about a week, similar to having the hardest workout in your life, second week it's a little bit better, third week likely you're okay.

Monique Ramsey (12:53):
Okay. So just taking it easy so those threads stay where you put them?

Khanh Nguyen (12:58):
Exactly.

Monique Ramsey (12:58):
And then how long does it take to see results from that part of the procedure?

Khanh Nguyen (13:04):
Yeah, that's another good question. So with threads, you look good leaving the office because of the mechanical lifting with the barbs that we use. However, we treat it a little bit differently, our goal is to actually improve the quality of the skin, not just lift you and then send you on your way. So the amount of threads that we put into a typical patient probably doubles or triples what other providers do or other practices do. So what happens is, every month you're improving your tissue and you're improving your collagen. So at three months, when you come back for post photos, you're going to look even better every single month, when you come back at six months to take post photos because the threads last in your body about four to six months, you're continuously improving that tissue quality, so at six months is typically your peak results.

Monique Ramsey (13:45):
Okay. So your peak results is let's say six months, does that result last, and then how long does it last or does that depend on the person?

Khanh Nguyen (13:55):
Depends on the person. However, on average it lasts about a year and a half to two years. So longevity is a difficult thing to answer when patients ask this all the time, because once you've built your collagen or you improved on your skin quality, it's yours until you start aging again, it's yours until you go sunbathing again, it's yours until you have a poor diet and you don't take care of it. So once the threads are gone, now it's up to your body to hold onto the results, up to you to maintain a healthy lifestyle, and really it's also the age as well. A 30 year old is going to have more collagen production and hold onto it better than a 60, 70 year old.

Monique Ramsey (14:32):
Mm-hmm (affirmative). That's true. But this is kind of a nice thing to know about because some people say, sure, I'll undergo a surgical procedure because that might get me the result I'm looking for, but there's a lot of people who kind of would say, okay, well what can I do without surgery? And it sounds like this is a really nice double whammy approach because you're coming at the bands by cutting them with the Cellfina and then you're improving the skin and lifting with the threads. So it sounds like it's kind of a great one two punch, to treat it without having to have a surgical intervention. In the winter we might worry about how we look in a bikini a little less, unless you're hopping in the hot tub, going somewhere warm, but is winter time better to get it done?

Khanh Nguyen (15:22):
Yeah, I would say winter if you don't plan on going to anywhere tropical, I guess that's kind of the funny part about winter is we go searching out vacations in tropical areas. But, for the most part, we just tell people, give yourself a one month buffer just because of the bruising and the soreness piece. But if you do bruise, come on in and we can zap it with the bruise laser and more times than not, we can get rid of the bruising in about a week or so.

Monique Ramsey (15:43):
Do you do the threads and the Cellfina on the same day, or do you have them come back?

Khanh Nguyen (15:50):
I have them do it the same day if I can. So if I can accurately treat the area, because once I numb the area it gets pretty puffy and swollen from the Cellfina, so if I can't see what I'm doing in an appropriate way, then I'll have them come back. But I think probably majority of the time I'm doing both at the same time to save them a trip back with us.

Monique Ramsey (16:08):
Okay. And if they had to have it on at a different time, how long do you have them wait?

Khanh Nguyen (16:14):
Probably a week or so.

Monique Ramsey (16:15):
Oh, okay.

Khanh Nguyen (16:15):
Or it's mostly for that lidocaine swelling to go down.

Monique Ramsey (16:18):
Uh-huh (affirmative). Yeah, I notice even if any of the ladies out there or men in the audience, if you have ever had a filler and they have you put numbing cream on, especially on your lips, all of a sudden you're like, oh, they look so good. It's because they're already puffing up from the numbing cream.

Khanh Nguyen (16:34):
Yeah.

Monique Ramsey (16:34):
So what happens to cellulite if your weight fluctuates? So say you've had the Cellfina treatment, or the Cellfina and threads, and your weight fluctuates either up or down, what can that do to your result?

Khanh Nguyen (16:47):
Yeah, good question. So if we think about those columns again and the fat being squished up above those columns, that's what's causing it. Potentially cellulite can always come back, however, it'll be in a different area because the areas that we treated, for the most part you've removed those bands so you won't get cellulite in that area. Could it come up in other areas? Absolutely. But going back to that question of who gets cellulite, although weight does play a role, it's not a determining factor. So some people gain weight. And what happens is all that fat masks the cellulite, where if you lose weight then your fat isn't masking the cellulite. So there's no definitive answer, but with weight fluctuation it can play a role in cellulite more or less.

Monique Ramsey (17:35):
And back to the post-op experience, so you mentioned the bruise laser, what is this magic that you mentioned? Tell us a little bit about that technology.

Khanh Nguyen (17:46):
Sure, yeah. This is actually the first place that I've come to that has it. So we have two devices, one's called a Vbeam, and then one's called a BBL, that's also known as an IPL or photo facial depending on who you speak to. But what it does is it sees pigment. So if it sees red, if it sees blue, which majority that's what bruises look like in the beginning. So if you come to us for fillers, Botox, threads, any procedure where we're making an incision into the body that could potentially cause a bruise, after the procedure we'll take you next door to that laser and we'll zap it to preemptively remove that bruise. Or if a bruise develops within the next couple days to a week, we just ask you give us a call hour or two ahead of time, tell us you're coming in, then any of our providers can zap that bruise and really speed up the process.

Monique Ramsey (18:29):
And how does it speed up the process? Like, okay, it zaps, but what does that do?

Khanh Nguyen (18:34):
Yeah, it's similar to when we do IPO where you're knocking away reds and brown pigment, so you're taking that laser specifically that targets that color and then it breaks up that coloration, and then your body will expel or get rid of that pigment by itself. So the laser, just... Think about it's like a nutcracker, it just cracks that nut of pigment and then your body takes it away.

Monique Ramsey (18:55):
Ah, oh, I like that analogy, that's interesting. Okay, so what kind of investment would people be looking at, and it's a combo treatment, it's going to be a little bit more. On our website we have all our prices. So it shows a range for Cellfina from like $4,000-$6,000. Is that about right? And is it one treatment or do you have multiple treatments?

Khanh Nguyen (19:17):
We always recommend one to begin with, and it depends on how many dimples you have. So the coordinators will be better at quoting these things, but we talk about small, medium and large. And within those areas it's how many dimples that you have, I can't remember off the top of my head, but I think it's like one to 10 dimples, 10 to 20 dimples, 20 to 30 dimples, that determines small, medium, large area that we're treating. And then how many areas as well. So if we're having to turn you, flip you around, things like that, that potentially could increase the cost of it.

Monique Ramsey (19:46):
Got it. And then what percentage of people would you say are satisfied with their treatment after one Cellfina session?

Khanh Nguyen (19:58):
Actually, honestly, I think 100% actually in regards to the ones I've done. No one has been unsatisfied and we've actually brought on another injectable that helps with leftover dimples. So let's just say we do Cellfina and we knock out 80 to 90% of the dimples, or there's certain dimples we can't treat because it's a no-fly zone, we're afraid that the outcome may not what be what you want. So we have something else that's an injectable medication that kind of fine tunes it and cleans everything up after you're recovered with Cellfina.

Monique Ramsey (20:27):
Oh, tell us about that.

Khanh Nguyen (20:29):
That one's called Qwo, so Q-W-O.

Monique Ramsey (20:31):
Qwo, okay.

Khanh Nguyen (20:33):
I use that after. So if I have one or two dimples that didn't get fully resolved, I take that injectable medication to dissolve the ligament bands in that area.

Monique Ramsey (20:43):
Okay, so it's targeting the same thing, just in a different way?

Khanh Nguyen (20:46):
Yep. And it's a longer treatment. So with Qwo you're looking at three plus treatments and more bruising, more downtime, where Cellfina's more of a one and done type treatment.

Monique Ramsey (20:57):
Okay, well that makes sense. And then if you're adding on threads, I would assume that is super dependent, the price is very hard to quote without seeing them, right? Because it probably depends on what areas you're treating, how many threads you might be using?

Khanh Nguyen (21:11):
Yeah. We have a standard treatment in regards to how many threads that we put into the buttocks or the thighs. Our Zoom, because we're so accustomed to doing Zoom now and we're such a visual practice that we can get a pretty good understanding even via Zoom. But when it comes to Cellfina and threads, one Cellfina we see you a couple times in office because we have to physically touch you, lift you, mark out the dimples before we ever do the treatment. But with the threads, even when we're done with the Zoom consultation, when you come to see us we have that in-person consultation just to verify our exact plan.

Monique Ramsey (21:40):
Okay. So what is your pre-op regimen for this treatment?

Khanh Nguyen (21:44):
Yeah. All of our coordinators send out a pre and post care so you have a good understanding of how to prep for it ahead of time, but that's the biggest ones. We want to check your health history and we want to check your medications. But even just to your point, if you're just taking vitamins and over the counter stuff, you want to limit your alcohol, it thins your blood. You want to limit vitamin E, omega, anything, fish content, even fish oils, eating sushi a couple nights before, are all things, ibuprofen are all things that thin your blood. So we send out the pre-care and that's mainly what we're trying to do is just limit the bleeding so you limit the bruise and you limit the swelling, because if you swell too much it's hard for us to do the procedure as well.

Monique Ramsey (22:20):
Oh. So swelling, like if you have too much sodium, that kind of swelling?

Khanh Nguyen (22:25):
The bleeding piece.

Monique Ramsey (22:26):
Oh the bleeding.

Khanh Nguyen (22:28):
Yeah. With the injection of the lidocaine we use a little bit of epinephrine that helps reduce the bleeding as well. But if you can do all those things ahead of time, then you're setting yourself up more for success.

Monique Ramsey (22:38):
I think most people, if they know what they can do to prepare to make the recovery faster, make the result better, or the result appear quicker, I think most people are willing to do it and so it's something that we don't always think about. You kind of think about post-op more than you think about what should I do to get ready. So patient experience here at La Jolla Cosmetic is really our top priority, and we rely on reviews to help others get the information they need about procedures and about providers. And we make it easy to find those reviews, we've got thousands of them on our website. We have them by providers so you can read reviews of patients who Khanh has treated. We even have them by procedure, so if you're thinking about Qwo, you're thinking about Cellfina, and Qwo's newer to our office, so we might not have as many reviews yet because I think we've just been doing it for the last year, about, Khanh is that right?

Khanh Nguyen (23:32):
Yeah. 2021 is when we started.

Monique Ramsey (23:34):
Yeah. But I think it's really helpful to read reviews from La Jolla Cosmetic patients. Reading the experience of people who've actually come to La Jolla Cosmetic and had you do their procedure is going to be a good and a better almost indication of what your experience would be like when you come in. So we have, like I mentioned, prices on our website, we publish ranges because sometimes it's really hard to say exactly how much it's going to be without us seeing you. And then also before and after photos and information about each of our providers. And we also have financing programs and we do have a podcast about financing specifically, but there are financing programs that once you have your consultation, then your patient care coordinator can go over the pricing and the different plans. A lot of times there's 12 months no interest, things like that. So for this procedure, can they have the virtual consultation on Zoom or is it really better in person, or how do you start that process?

Khanh Nguyen (24:40):
The initial one is always by Zoom. Some providers will choose in office, but we found Zoom is one, comfortable for the patient because you can do it at home in the living room and be comfortable in a robe and still show us, and then also photos do a lot as well. So when you send in photos to us we're very specific on how you should send in photos, so front, side, side, and flexing in all position, that gives us a pretty good understanding of it. Then the rest of it is Zoom and you can show us and have a good conversation as well.

Monique Ramsey (25:06):
Okay. So if you're listening today and you are thinking you'd like to have a virtual consultation to get the process started and learn more about if you're a candidate for Cellfina and/or threads, then you know you can just we'll have the links on our website and you can call us or text us, you can go onto our website to our contact us page and we will get right back to you and get you that Zoom consult set up. And we're going to ask a special favor for everyone listening today, if you love the La Jolla Cosmetic Podcast, and if you've learned something from it or if it's helped you make a decision, please tell your friends and please write a review of our show on Apple Podcasts or Goodpods or wherever you're listing, because we love reviews, and we want to hear from you.

Monique Ramsey (25:53):
And we'd love to hear if you'd like to come on the show, be a guest, if you're a patient you want to share your experience I'd love to have you as a guest. And if you have any other questions, the show notes will have all the links, you can find before and after photos and all of our providers beautiful photos. The last thing is if you show that you're a subscriber to the La Jolla Cosmetic Podcast, we have a special offer where we'll give you $25 off of $50 or more on anything you want. So thanks again Khanh for coming by and sharing this very cool combo procedure.

Khanh Nguyen (26:32):
Absolutely. Thank you for having me.

Speaker 4 (26:39):
Take a screenshot of this podcast episode with your phone and show it at your consultation or appointment, or mention the promo code PODCAST to receive $25 off any service or product of $50 or more at La Jolla Cosmetic.

Speaker 4 (26:52):
La Jolla Cosmetic is located just off the I5 San Diego Freeway in the Ximed building on the Scripps Memorial Hospital campus. To learn more go to ljcsc.com or follow the team on Instagram @ljcsc. The La Jolla Cosmetic Podcast is a production of The Axis, theaxis.io.