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Dr. Rachael Degurse Spills the Tea on What Actually Works for Aging Skin

Dr. Rachael Degurse Spills the Tea on What Actually Works for Aging Skin

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Ready to rebel against bad advice about aging gracefully? Board-certified family physician Dr. Rachel Degurse is pulling back the curtain on the med spa industry - and some of what she reveals might surprise you.

After corporate healthcare stripped away her ability to truly care for patients, Dr. Rachel opened Pearl Skin Body in Colorado Springs, where she combines internal wellness with external rejuvenation. This isn't your typical "get Botox everywhere" conversation - it's an honest breakdown of what works, what doesn't, and where you should never get filler.

What You'll Discover

The med spa wild west - why your state's regulations (or lack thereof) could put you at risk

Where filler should NEVER go - the common mistake that won't fix your problem

The one treatment that "rolls back the clock 10 years" - Dr. Rachel's go-to for maximum results

Why some people get "pillowy" faces from fillers - and how to avoid becoming one of them

Red flags to watch for when choosing a med spa - what to look for beyond pretty websites

The truth about Botox crossing the blood-brain barrier - should you be concerned?

Testosterone for women since the 1920s - why this isn't just for men

Dr. Rachel on the med spa industry:

"Med spa world is like the wild west... A medical director technically doesn't even need to be in the same state when they're supervising a med spa. I, in Colorado, legally could supervise a med spa in Alaska and that would be totally okay."

On filler placement mistakes:

"That in between the eyebrows, that area is actually not an ideal location for filler because filler is specifically for volume loss... those wrinkles in between your eyes are usually from facial expression."

Greg on finding the right provider:

"If they don't have a picture of somebody that is my age, like I don't wanna see a 30-year-old before and after of Botox. I wanna see a 65-year-old."

Dr. Rachel on taking control of your care:

"Nobody should have to feel like a number. So if you're not getting the answers that you feel like you deserve, then meet with somebody else. There's nothing wrong with that."

Who This Episode Is Perfect For

✓ Rebels considering their first med spa treatment but overwhelmed by options

✓ Anyone who's been told their aging concerns are "just normal"

✓ People wanting to understand the difference between volume loss and expression lines

✓ Those seeking a physician who takes a holistic approach to aging

✓ Anyone curious about combining hormone therapy with aesthetic treatments

The Rebellious Truth About Aging Treatments

While the beauty industry wants you to believe more is always better, Dr. Rachel reveals a different approach. The most effective anti-aging strategy isn't about filling every line or freezing every muscle - it's about understanding what's actually causing your specific concerns.

The game-changer insight: Most people are treating expression lines (caused by muscle movement) with volume fillers, when they should be using neuromodulators like Botox. Meanwhile, actual volume loss in the midface gets ignored.

Dr. Rachel's "Bang for Your Buck" Recommendation

For maximum anti-aging results without surgery: Radiofrequency microneedling (Morpheus)

This treatment addresses multiple concerns at once:

  • Skin texture and fine lines
  • Mild skin...
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