The med spa industry has changed dramatically—but has the medicine kept up?

Dr. Thomas Romo and Dr. Alexandra Filingeri sit down with Dr. Todd to examine the rapid growth of medical aesthetics and the expanding world of med spas, longevity treatments, GLP-1 medications, peptides, hormone therapy, and other increasingly popular treatments.

Dr. Todd shares his perspective after decades in medical aesthetics, including his experience using Botox before it became a cosmetic treatment. Together, they discuss what can happen when treatments expand faster than the training, evidence, and medical oversight needed to provide them safely.

The conversation also explores GLP-1 medications and the importance of proper nutritional guidance, rapid weight loss and changes in body composition, social media’s influence on cosmetic trends, unregulated peptides, complications in the med spa industry, and why the person providing a treatment can matter just as much as the treatment itself.

They also take a closer look at younger people turning to hormones and performance-enhancing substances, the rise of “looksmaxxing,” and the growing concern around people using social media to learn how to perform medical procedures themselves.

As aesthetics and longevity continue to grow, this conversation is a reminder to ask important questions: Who is providing your treatment? What is their training? What evidence supports it? And who is overseeing your care?

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The content shared on the “We Got Your Number” podcast is for educational and informational purposes only. It is not intended to provide medical advice, diagnosis, or treatment. Always seek the guidance of your own qualified healthcare professional with any questions you may have regarding your health, nutrition, or medical care.