Episodes

  • Inside the Wild West of Med Spas: Neurotoxins, Lasers, and Legal Chaos with Amanda Lemmage
    Apr 30 2025

    In this episode of MedSpa Mayhem, host Dr. Kate Dee interviews Amanda Lemmage, owner of Skingevity Med Spa. They discuss their preferences for different FDA-approved neurotoxins like Dysport and Botox, detailing the pros and cons of each. They then delve into their favorite laser and RF microneedling treatments, highlighting the superior technologies from Korea and the importance of avoiding high-risk treatments like CO2 lasers. Lastly, they touch upon the confusing and inconsistent legal landscape governing med spas, emphasizing the necessity of medical directors and ethical practices. Dr. Dee also introduces a new initiative, the Medspa Board, aimed at certifying reputable med spas to protect consumers.



    Reach out to Dr. Dee

    Email Dr. Kate Dee at info@drkatedee.com

    Check out the Medspa Mayhem website for

    • More about Dr. Dee

    • Upcoming appearances

    • Links to buy the book on Bookshop, B&N, Amazon

    • Press and Podcast info

    Glow Medispa in Seattle, WA

    Purchase Medspa Mayhem on Amazon

    Find out about the Medspa Board

    Meet Amanda Lemmage

    Amanda on Instagram and LinkedIn

    Skingevity Med Spa in Spring Park, IL

    Check out Amanda’s podcast: the All-In Wellness Show

    Takeaways

    • Neurotoxins like Botox and Dysport have different properties and are not the same

    • Patient education is crucial in aesthetic treatments.

    • Ablative lasers carry higher risks and are generally avoided.

    • RF microneedling is a safe and effective treatment option.

    • Honesty and transparency with patients build trust.

    • The med spa industry is evolving with new technologies and regulations. People want to be educated and not pressured into treatments.

    • Regulations vary significantly by state in the aesthetics industry.

    • Medical directors must be actively involved in practices.

    • There is a movement towards stronger medical directorship in med spas.

    • Patients should be aware of the qualifications of their providers.

    • The Medspa Board aims to certify compliant med spas.

    • Consumers need to know what questions to ask when choosing a med spa.

    Chapters

    00:00 Introduction to MedSpa Mayhem

    01:06 Meet Amanda Lemon: Licensed Esthetician and Business Coach

    01:52 Diving into Neurotoxins: Botox, Dysport, and More

    04:21 The Pros and Cons of Different Neurotoxins

    11:31 Challenges with Sales Reps and Marketing Tactics

    15:08 Laser Treatments: RF Microneedling and More

    25:43 The Importance of Risk Management in Spas

    25:57 Educating Patients on Safety

    26:21 Honesty and Integrity in Patient Care

    27:12 Avoiding High-Pressure Sales Tactics

    27:59 Age Considerations for Treatments

    28:39 Maintaining Skin Health Over Time

    30:20 Industry Regulations and Legal Changes

    31:31 The Role of Medical Directors

    33:27 Ethical Concerns in Medical Spas

    43:06 The Med Spa Board Certification

    48:46 Advice for New Patients and Practitioners

    50:39 Conclusion and Contact Information

    Show More Show Less
    53 mins
  • Inside Medspa Marketing: Tactics, Strategies, and Industry Insights with Middle Way Marketing
    Apr 16 2025

    In this episode, Dr. Kate Dee interviews Brett Chikowski (COO) and Connor O'Rourke (CEO), co-founders of the med spa marketing firm Middle Way Marketing. They discuss their backgrounds, how they met, and the inception of their company. The conversation delves into effective marketing tactics for med spas, including foundational digital strategies, the importance of high-quality content, and the significance of a well-trained staff. They also compare the effectiveness of Google ads versus social media ads, highlight common pitfalls in the industry, such as leased websites, and share their approach to reputation management and reviews. Both industry veterans offer valuable advice for med spa owners looking to improve their marketing strategies and for consumers seeking legit practices.

    Reach out to Dr. Dee

    Email Dr. Kate Dee at info@drkatedee.com

    Check out the Medspa Mayhem website for

    • More about Dr. Dee

    • Upcoming appearances

    • Links to buy the book on Bookshop, B&N, Amazon

    • Press and Podcast info

    Glow Medispa in Seattle, WA

    Purchase Medspa Mayhem on Amazon

    Reach Out to Middle Way Marketing

    Conner O’Rourke - CEO

    Brett Chikowski - COO

    Middle Way Marketing is a digital marketing agency focused on marketing for doctors and med spas. They are based out of Austin, TX and specialize in websites, SEO, Google PPC, social media content campaigns, videography, and photography. For inquiries please email info@middlewaymarketing.com or visit www.middlewaymarketing.com.

    Takeaways

    • Foundational marketing is crucial for long-term success.

    • High-quality personalized content is essential for attracting clients.

    • Reputation management and reviews are vital for attracting new patients.

    • Avoid marketing agencies that lease websites to clients.

    • Word of mouth remains the most effective marketing strategy.

    • SEO is essential for being discoverable online.

    • Educating clients about marketing is vital for transparency.

    • Understanding the marketing process helps set realistic expectations.

    • Legitimate med spas prioritize patient education over sales.

    Chapters

    00:00 Introduction to MedSpa Mayhem

    01:11 Meet the Middle Way Marketing Founders

    01:59 Marketing Tactics for Med Spas

    02:39 The Origin Story of Middle Way Marketing

    06:15 Foundational Marketing Strategies

    09:18 Challenges with Lead Generation

    09:57 The Importance of Conversion

    16:33 The Role of Price Transparency

    20:24 Crazy Marketing Tactics

    24:53 The Importance of Personalized Content

    26:31 Effective Review Strategies

    27:23 SEO and Keywords in Reviews

    28:52 Prompting Patients for Reviews

    30:00 The Role of Front Desk in Reputation Management

    31:03 Personalized Review Requests

    33:40 Importance of Word of Mouth and SEO

    35:03 Challenges with Digital Communication

    37:19 The Future of AI in Customer Interaction

    41:12 Advice for Med Spa Owners and Consumers

    50:06 Concluding Thoughts and Final Tips

    Show More Show Less
    52 mins
  • What’s next after weight Loss with GLP-1’s?
    Apr 2 2025

    In this episode of MedSpa Mayhem, Dr. Kate Dee discusses the intricacies of weight loss using GLP-1 agonists with naturopathic doctor Ashley Millhiser. They delve into the importance of complete body optimization, the benefits and pitfalls of GLP-1 drugs, and strategies for sustainable weight loss. Key topics include the significance of monitoring fat loss over weight loss, individualized patient care, and supplemental treatments such as strength training and advanced muscle-building devices like Emsculpt Neo. Both experts emphasize the necessity of working with knowledgeable providers to avoid the common mistakes in using these medications and ensure long-term success.

    Reach out to Dr. Dee

    Email Dr. Kate Dee at info@drkatedee.com

    Check out the Medspa Mayhem website for

    • More about Dr. Dee

    • Upcoming appearances

    • Links to buy the book on Bookshop, B&N, Amazon

    • Press and Podcast info

    Glow Medispa in Seattle, WA

    Medspa Board Website

    Purchase Medspa Mayhem on Amazon

    Meet Ashley Milhizer, ND and on instagram

    Visit Real Results medical, locations in Tempe and Scottsdale AZ: website, and on instagram

    Takeaways

    • Weight loss is a journey that requires ongoing management.

    • Individualized approaches to medication are crucial for success.

    • Diet should focus on whole foods and adequate protein intake.

    • Exercise should include strength training to preserve muscle mass.

    • Utilizing technology can enhance muscle building and recovery.

    • Common pitfalls include moving too quickly with medication adjustments.

    • Sustainable weight loss requires patience and lifestyle changes.

    • Monitoring muscle mass is essential to prevent wasting during weight loss.

    • Professional guidance is important for long-term success.

    • Weight loss medications can lead to significant health improvements.

    Chapters

    00:00 Introduction to MedSpa Mayhem

    01:20 Meet Dr. Kate Dee and Ashley Millhiser

    01:58 The Weight Loss Journey with GLP-1 Agonists

    04:16 Long-Term Weight Management Strategies

    11:55 The Role of Diet and Nutrition

    15:35 Exercise Recommendations for Weight Loss

    21:18 Using Technology to Aid Weight Loss

    24:34 Common Pitfalls and How to Avoid Them

    32:36 Final Thoughts and Advice

    34:00 Conclusion and Contact Information

    Show More Show Less
    36 mins
  • Liposuction and Weight Loss with Dr. Giselle Prado-Wright
    Mar 19 2025

    In this episode of MedSpa Mayhem, Dr. Kate Dee interviews Dr. Giselle Prado Wright, founder of Exert Body Sculpt in Florida, to discuss the intricacies of liposuction and weight loss. Dr. Wright shares her unique journey from aspiring dermatologist to liposuction specialist, emphasizing the importance of resilience and mentorship in the medical field. The conversation covers various aspects of liposuction, including patient candidacy, procedural details, post-operative care, and the impact of weight loss medications like GLP-1 agonists. Dr. Wright also highlights the common complications associated with liposuction, particularly seromas, and the critical need for proper follow-up care. Additionally, Dr. Dee and Dr. Wright touch upon the pitfalls of seeking low-cost cosmetic surgeries in high-volume clinics, emphasizing the necessity of choosing experienced practitioners who provide comprehensive care. Tune in to learn more about the wild west of medical aesthetics and how to navigate it safely.

    Reach out to Dr. Dee

    Email Dr. Kate Dee at info@drkatedee.com

    Check out the Medspa Mayhem website for

    • More about Dr. Dee

    • Upcoming appearances

    • Links to buy the book on Bookshop, B&N, Amazon

    • Press and Podcast info

    Glow Medispa in Seattle, WA

    Purchase Medspa Mayhem on Amazon

    Dr. Prado-Wright is a cosmetic surgeon in Fort Myers, FL specializing in awake liposuction and non-invasive procedures for facial rejuvenation. She founded Exert BodySculpt in 2021 and has built a successful business by combining her medical expertise with advanced marketing and sales tactics. Dr. Prado-Wright is currently focused on helping physicians start or scale their entrepreneurial and practice ownership journey through franchising.

    Patients: https://exertbodysculpt.com/

    Physicians: exertbodysculpt.com/franchise

    Instagram: instagram.com/drgisellepradowright



    Takeaways

    • Liposuction requires extensive practice and understanding of human anatomy to perform safely and effectively.

    • The ease of performing liposuction can vary greatly depending on the patient's body type and previous surgeries.

    • Integrating weight loss programs with liposuction can enhance patient outcomes and satisfaction.

    • Surgeons should prioritize patient desires and not push unnecessary procedures.

    • Post-operative care is crucial for successful recovery and patient satisfaction.

    • Patients often experience emotional challenges post-surgery, which can be exacerbated by complications. Recovery from liposuction can take six months to a year.

    • Patients often regret not undergoing procedures sooner.

    • Genuine care and passion are essential in cosmetic practices.

    Chapters

    00:00 Introduction to MedSpa Mayhem

    01:16 Meet Dr. Giselle Prado-Wright

    02:08 Dr. Prado-Wright's Journey to Liposuction

    04:18 Understanding Liposuction

    07:52 Patient Consultations and Evaluations

    09:56 Weight Loss and Liposuction

    16:19 Complications and Recovery

    18:54 Understanding Liposuction Complications

    20:21 The Importance of Post-Op Care

    21:17 Med Spa Complications and Follow-Up

    21:55 Unusual Cases and Seroma Management

    24:01 Infections and Mycobacterium Concerns

    27:20 Skin Tightening with Renuvion

    30:09 Founding Exert Body Sculpt

    33:43 Advice for Practitioners and Patients

    35:24 Conclusion and Final Thoughts

    Show More Show Less
    37 mins
  • Fat Mascara: the hidden dangers of the Med Spa Industry
    Mar 5 2025

    In this special bonus episode of Med Spa Mayhem on the Fat Mascara Podcast, Dr. Kate Dee discusses her journey from diagnostic radiology to owning a med spa after a successful career in breast cancer imaging. Co-hosted with Jen Sullivan, the episode dives deep into the legal and safety challenges within the med spa industry, including the frequent headline-making abuses like counterfeit Botox and illegal practices. Dr. Dee provides critical advice on how to find reputable and legal med spas, the importance of good faith exams, red flags to watch out for, and the potential dangers of common procedures like fillers and laser hair removal. Listeners also get a sneak peek into Dr. Dee's vision for a national nonprofit organization to certify med spas for legality and safety, aiming to protect consumers better.

    Reach out to Dr. Dee

    Email Dr. Kate Dee at info@drkatedee.com

    Check out the Medspa Mayhem website for

    • More about Dr. Dee

    • Upcoming appearances

    • Links to buy the book on Bookshop, B&N, Amazon

    • Press and Podcast info

    Glow Medispa in Seattle, WA

    Purchase Medspa Mayhem on Amazon

    Visit the Fat Mascara Podcast

    Key Takeaways:

    • Lack of Med Spa Regulations: Unlike salons, med spas are not routinely inspected or licensed by a governing body, creating a gray area in oversight.

    • Legal Gray Areas & Violations: Many med spas operate illegally, with nurses practicing independently without a doctor’s supervision, despite laws prohibiting this in most states.

    • Minimal Consequences for Violators: Even when caught ordering counterfeit products or practicing without a license, offenders often face little to no legal repercussions.

    • No National Accreditation: There is no national organization certifying med spas for safety and legality, but Dr. Dee is working to create one.

    • Consumer Responsibility: Patients must research providers, verify credentials, and ensure they receive a proper medical evaluation before undergoing treatments.

    • Rise of Counterfeit Products: Fake Botox and fillers are widely used due to lax enforcement, leading to serious health risks.

    • Turf Battles in the Industry: Dermatologists, plastic surgeons, and non-core doctors often dispute who should be allowed to practice aesthetic medicine.

    • The “Good Faith Exam” Requirement: Before treatment, a patient should be examined by a doctor, nurse practitioner, or physician assistant, but this often doesn’t happen in med spas.

    • Dr. Dee’s Mission: Through her book Med Spa Mayhem and efforts with the American Med Spa Association, she aims to raise awareness and push for better regulation.

    Chapters

    00:00 Introduction and Podcast Announcement

    00:43 Med Spa Industry Issues

    01:36 Meet Dr. Kate Dee

    03:40 Dr. Dee's Journey to Aesthetic Medicine

    07:44 Legal and Regulatory Challenges in Med Spas

    15:28 Finding a Reputable Aesthetic Provider

    36:14 Choosing the Right Med Spa

    36:44 Identifying Red Flags

    38:51 The Importance of a Good Faith Exam

    45:46 The Role of Reviews and Ratings

    48:04 Avoiding Counterfeit Products

    54:32 The Med Spa Certification Initiative

    59:45 Fun and Personal Insights with Dr. Dee

    01:02:44 Conclusion and Listener Engagement

    Show More Show Less
    1 hr and 5 mins
  • The GLP-1 Journey: From Semaglutide to Tirzepatide and back?
    Feb 19 2025

    In this episode, Dr. Kate Dee and her best friend Felicia discuss their personal experiences with GLP-1 medications, specifically semaglutide and tirzepatide, which are gaining popularity for weight loss and diabetes treatment. The conversation covers the impact of these medications on weight loss, hunger, and alcohol consumption, as well as the importance of medical supervision, proper nutrition, and maintenance strategies. Felicia shares her journey of losing weight post-menopause and how she navigated the side effects, while Dr. Dee provides insights on best practices for using these medications. Together, they emphasize the significance of prioritizing protein intake, staying active, and preparing for potential changes in drug accessibility and pricing.

    Reach out to Dr. Dee

    Email Dr. Kate Dee at info@drkatedee.com

    Check out the Medspa Mayhem website for

    • More about Dr. Dee

    • Upcoming appearances

    • Links to buy the book on Bookshop, B&N, Amazon

    • Press and Podcast info

    Glow Medispa in Seattle, WA

    Purchase Medspa Mayhem on Amazon

    Chapters

    00:00 Introduction and Special Guest

    02:15 Felicia's Weight Loss Journey

    04:42 Side Effects and Observations

    08:51 Maintenance and Long-Term Effects

    10:28 Comparing GLP-1 Drugs

    16:30 Future of Weight Loss Medication

    21:56 Conclusion and Final Thoughts

    Show More Show Less
    31 mins
  • Innovation in Aesthetics 2025 with Nicole Gregory
    Feb 5 2025

    In this episode of MedSpa Mayhem, host Dr. Kate Dee chats with Nicole Gregory, CEO and co-founder of Urban You Beauty and Wellness in Michigan. Gregory shares her journey into the med spa industry starting with her entrepreneurial background. They discuss the growth and regulation of various trends such as medical weight loss, hair restoration with exosomes, and the integration of wellness services. The episode ends with a look ahead to emerging trends and potential innovations in the aesthetics industry.

    Reach out to Dr. Dee

    Email Dr. Kate Dee at info@drkatedee.com

    Check out the Medspa Mayhem website for

    • More about Dr. Dee

    • Upcoming appearances

    • Links to buy the book on Bookshop, B&N, Amazon

    • Press and Podcast info

    Glow Medispa in Seattle, WA

    Purchase Medspa Mayhem on Amazon

    Reach out to Nicole Gregory

    Urban You

    LinkedIn

    Interview on Medium

    Takeaways

    • Staying ahead of trends is important for business differentiation.

    • Weight loss trends are rapidly evolving in the aesthetics market.

    • Future trends in medical aesthetics will require innovation and regulation awareness. The aesthetic industry is rapidly evolving with new treatments.

    • Effectiveness, safety, and legality are crucial in aesthetic procedures.

    • The industry is experiencing a rebirth with a focus on quality and customer experience.

    Chapters

    00:00 Introduction to MedSpa Trends

    00:33 Welcome to MedSpa Mayhem

    01:26 Meet Nicole Gregory

    03:23 Nicole's Entrepreneurial Journey

    05:58 The Rise of Medical Spas

    08:05 Ensuring Quality and Compliance

    14:42 Innovations in Wellness Services

    15:48 The Weight Loss Debate

    21:40 Exploring Semaglutide and Compounding Pharmacies

    22:46 Trends in Weight Loss and Hair Restoration

    24:31 Navigating Industry Trends and Legalities

    24:57 The Rise and Fall of Vaginal Rejuvenation

    26:33 Exosomes: Hype vs. Reality

    29:47 Challenges in Cellulite Treatments

    32:38 Future Trends in Medical Weight Loss and Skin Tightening

    35:05 Innovations in MedSpa Operations

    40:54 Conclusion and Contact Information

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    42 mins
  • Tackling Mayhem & Legal Compliance in the Med Spa Industry with Nicole Gregory
    Jan 22 2025

    In this episode of MedSpa Mayhem, Dr. Kate Dee discusses the chaotic landscape of the medical aesthetics industry with Nicole Gregory, co-founder and CEO of Urban You Beauty and Wellness. They highlight the prevalence of illegal and unsafe practices, stressing the need for legal compliance and better industry standards. They introduce initiatives like the Michigan Med Spa Association and the proposal for a national certification to bring regulatory oversight and ensure patient safety. Dr. Kate Dee shares her vision for the Med Spa Board, which aims to certify med spas nationwide, ensuring they operate legally and safely. Nicole Gregory sheds light on efforts to improve transparency and accountability in Michigan's med spa industry.

    Reach out to Dr. Dee

    Email Dr. Kate Dee at info@drkatedee.com

    Check out the Medspa Mayhem website for

    • More about Dr. Dee

    • Upcoming appearances

    • Links to buy the book on Bookshop, B&N, Amazon

    • Press and Podcast info

    Glow Medispa in Seattle, WA

    Purchase Medspa Mayhem on Amazon

    Reach out to Nicole Gregory

    Urban You

    LinkedIn

    Interview on Medium

    Takeaways

    • The medspa industry is experiencing a rebirth with a focus on quality and customer experience.

    • Compliance in medical aesthetics is critical to ensure patient safety.

    • Many med spas operate outside the legal framework, leading to poor outcomes.

    • There is a lack of specific regulations for medical spas despite the extensive regulations in medicine.

    • Many med spas operate under the radar, complicating oversight and safety.

    • The Michigan Med Spa Association aims to improve standards and compliance in the industry.

    • Consumer awareness and transparency are crucial for patient safety in medical aesthetics.

    • Establishing national standards for med spas could enhance safety and accountability.

    • The conversation highlights the importance of vetting medical spas before treatment.

    • The aesthetics industry is evolving, with a growing focus on ethical practices.

    Chapters

    00:00 Introduction to MedSpa Mayhem

    01:12 Meet Nicole Gregory

    02:11 Legal and Compliance Issues in Medical Aesthetics

    03:33 The Chaos in the Med Spa Industry

    05:27 The Role of Medical Directors

    10:32 Founding the Michigan Med Spa Association

    15:43 National Certification and Standards

    27:32 Conclusion and Final Thoughts

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    29 mins