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The Secret To Laser Facials (with Dr. Sheila Nazarian)

The Secret To Laser Facials (with Dr. Sheila Nazarian)

Released Wednesday, 8th February 2023
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The Secret To Laser Facials (with Dr. Sheila Nazarian)

The Secret To Laser Facials (with Dr. Sheila Nazarian)

The Secret To Laser Facials (with Dr. Sheila Nazarian)

The Secret To Laser Facials (with Dr. Sheila Nazarian)

Wednesday, 8th February 2023
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Episode Transcript

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0:03

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Happy Wednesday Secret Squad. I'm Robin

0:36

McGrath, and this is a brand new episode showed

0:38

up, I've got a secret. Doctor

0:41

Sheila Nazarian is an award

0:43

winning plastic surgeon and professor

0:45

specializes in cosmetic reconstructive

0:48

and non invasive procedures. She

0:51

is also the Emmy nominated star

0:53

of Netflix's skin decision

0:55

before and after. Doctor

0:58

Nazarian Beverly Hills Medical Spa,

1:00

Spa twenty six, is a haven

1:02

for top tier non invasive procedures.

1:05

So today, I'm excited to

1:07

talk about her non invasive laser

1:09

offerings. Lasers can tighten,

1:12

lift, and regenerate the skin

1:14

as well as remove hair and tattoos.

1:17

You will be blown away by all of

1:19

this technology. This is

1:21

the secret to laser fascials. Well,

1:25

I have to say I couldn't wait for

1:27

you to get here today because I am so

1:29

very excited just as I just said

1:31

about this entire

1:33

topic. You have so much

1:35

to offer are for listeners today.

1:37

I'm really very happy that you're here welcome.

1:39

Thank you so much for having me. I'm excited to

1:41

educate everyone on what

1:43

is

1:43

working, what isn't work working, what has

1:45

come and gone, what has stand at the test of Ive.

1:48

Oh, I

1:48

love that. I've I've already just thrilled

1:50

to hear everything you have to say.

1:52

So let's get started at the

1:54

beginning. You emigrated here

1:56

from Iran. Is that right? And can you

1:58

tell us that story. Yeah. Sure. So

2:01

Ive was the second child. My sister's six years

2:03

older than me and my family decided, you know,

2:05

we want an anchor baby. My mom came to

2:07

New York when she was nine months pregnant,

2:10

had got her US citizen. We

2:12

went back to Iran. That was nineteen seventy Ive,

2:14

and the revolution was in full swing.

2:17

And were Jewish. So while

2:19

there was a lot of, you

2:22

know, outward and inward

2:25

racism basically against Jews and Iran,

2:28

they wouldn't let you leave. So they're Ive, we

2:30

don't like you, but you and you Ive and you can't go anywhere.

2:32

So the Ronnie Rock War

2:35

happened. There was bombs flying all over.

2:37

We would run to the windows. And, literally,

2:39

my parents were like, it's fireworks. Let's watch the

2:41

fireworks. AND

2:43

THEY JUST SAW WHAT WAS HAPPENING TO WOMEN IN IRAN

2:45

AS EVERYONE. THE WORLD IS SEEING RIGHT NOW

2:48

AND THEY'RE LIKE THIS IS NO PLACE FOR OUR TWO DAUGHTER

2:50

TO GROW UP. My father was

2:52

the chief medical officer of the Shaw's Heart

2:54

Hospital, and he had

2:56

actually saved the eyesight of one of his

2:58

lab techs. And so the lab tech

3:00

was part of the revolution. He said, you know what? You saved

3:02

my eyesight. I'm gonna save your life. You're on

3:05

the list. You need to leave. So my father

3:07

left almost immediately, went to Vienna,

3:10

stayed with one of his professor friends that he

3:12

knew, left my mom, my

3:14

sister, and my passport with the government,

3:16

saying he's just going to medical conference, he'll be

3:18

right back. And he

3:20

waited there, worked on getting us visas while

3:23

we worked with smugglers to

3:25

make it on the back of a pickup truck

3:28

through the desert into Pakistan.

3:30

Wow. Oh, wow. Yeah.

3:32

How old were you? I was six and a half. By

3:34

the time we made it to the states, I was seven.

3:37

My sister was thirteen. Congratulations.

3:40

Yeah. Ive, you know, we're so grateful to be

3:42

here to say the

3:43

least. Yeah. So they you're here too

3:45

as well. Safe and sound. Mhmm. That

3:48

is, oh, so scary. I

3:50

must

3:50

say. Yeah. I know. It's scary. I'm just so

3:52

grateful and being the age that my parents

3:54

parents were when they did this, leaving

3:56

everything behind all of, you know,

3:59

the hard work, the everything.

4:02

The house moving to a country

4:04

with, you know, very little understanding of

4:07

the language just to give their daughters a chance.

4:09

Gotcha. just can you

4:10

imagine? No. Ive cannot imagine. You

4:13

and your family are so strong.

4:15

That story must impact the way you Ive. Every

4:18

single

4:18

day. You know, I think that it makes

4:21

me wanna burn candle at both ends and

4:23

you really understand the opportunities that

4:25

you've been given in this country that you can succeed

4:27

regardless of religion,

4:30

gender. You know, I've never

4:32

really felt like anything held me back.

4:34

If anything, I think people

4:36

told me, oh, your skin color will hold you back or

4:38

your religion will hold you back or your gender will hold you

4:40

back. I found it as a differentiator -- Uh-huh.

4:42

-- that I used to I'm a woman. I understand

4:45

you. Come to me or I have, you know,

4:47

like pigmented skin. I understand pigmented

4:50

skin, which helps a lot with lasers.

4:52

That's why I have thirty lasers. Really?

4:55

So I have something for everyone, and

4:58

I usually just either test it out on myself or

5:00

one of my staff members and we decide

5:02

if we like that laser. We wanna keep it or if we

5:04

wanna send it

5:05

back. Wow. Can

5:06

we just go back to your story?

5:08

You just told. I'm overwhelmed by it

5:10

actually. There's so much problems.

5:13

I'm so impressed with the surface. I'm so

5:15

impressed with your father and your mother

5:17

and your sister and you and the strength and

5:21

just everything that you had to go through, and then

5:23

you you're sitting here with us today,

5:26

and you've accomplished so

5:27

much. I just have to say, congratulations

5:30

Facials I'm Ive humbled. I'm in

5:32

awe of everything that that

5:34

you've already told us and and

5:36

I I can't wait to hear it, but I I'm very impressed.

5:39

Thank you so much. I just think, you know,

5:41

as we were discussing a little bit before we started,

5:44

every woman is so much more

5:46

than just a plastic surgeon

5:48

or just a mom. We all are

5:51

multi multifaceted, multiple

5:54

interest, human beings. And

5:56

so I think everything that I've accomplished, whether

5:58

it's Ive our skincare e commerce

6:01

site, my skincare line, the show,

6:03

my nonprofit, this BAW, Plastic

6:05

Surgery, it's because all

6:07

of or being a mom event, you know,

6:09

being a wife. All of those things fulfill us

6:12

in different ways. And everybody's

6:14

like, you know, what's your favorite part? And I'm like, I don't

6:16

think each part would be enough for

6:18

me. I would be burned out if I was just in the operating

6:20

room all the time. I would probably be

6:22

a little burnt out if I was just home with the kids

6:25

all the Ive. Me, personally. Mhmm. think that's

6:27

the toughest job to be honest with you. But

6:29

you know, I think all of these things make me a happy

6:31

person and a better giver

6:35

of whatever it is I I can give

6:37

more to my kids. I can give more to my patients

6:39

because I'm happy.

6:40

Mhmm. At what age were

6:42

you when you knew

6:45

that this is what you would be doing

6:47

today. Howard Bauchner: Yeah, so I

6:49

actually did WoodShop in the fourth grade

6:52

And I was I think I was the only girl in the class. I almost

6:54

dropped out because I was like, oh my god. What am I gonna do

6:57

with all these boys? I really liked

6:59

drawing a blueprint of what I was gonna

7:02

build. I liked how accurate the drawings

7:04

had to be, and I really liked

7:06

building it. And so originally, I thought,

7:08

okay, maybe I'm gonna be an architect. Then

7:11

my mom my mother got ill with breast

7:13

cancer, and she actually passed away on I

7:15

was thirteen.

7:16

Oh, I'm sorry. And so Ive

7:18

really like my father was a physician obviously

7:20

and I said, you know what? Maybe I'll be an orthopedic

7:22

surgeon because that's being physician. It's helping people,

7:24

but I still get hammers and and I get to build

7:27

things. So started following an orthopedic

7:29

surgeon around in college, in New

7:31

York. And I spent seven months with

7:33

him and I was like, you know what, it's very cookie cutter.

7:35

I need something a little bit more creative. When

7:38

I was younger, I used to build stuff with paper,

7:41

bags and tape, and my mom would call me,

7:44

which means the expert in useless things. Since

7:46

I was always very crafty, and she's Ive, go throw

7:48

ball around when you're doing. And

7:51

so when orthopedics wasn't really looking

7:53

Ive it was for me, one of my friends said, why don't you look

7:55

into plastic surgery? It's creative. You get to build.

7:57

You get to design. And so

7:59

they introduced me to my mentor and

8:02

I never looked back. It was the perfect fit for me

8:04

and I even say if I was not accepted as

8:06

a plastic surgeon, I probably would

8:08

go into, like, the business of medicine or I

8:10

would go into something else.

8:12

Mhmm. Because I really just in

8:14

in the realm of medicine, I only wanted

8:16

to become a plastic surgeon. Ive

8:19

more question about

8:22

your journey here to the United

8:24

States at the age of six. And how

8:26

that happened. Do

8:30

you think that because at six years

8:32

old, I believe we can all remember that age

8:34

of our Ive. Did you

8:36

have a knowing then that

8:39

whatever you

8:39

did, you would excel at it? Because not

8:41

at all. Oh, really? Okay. God. So

8:43

I'm gonna ask that. You know, I I

8:45

went through that whole impostor syndrome.

8:48

I think when I was in the fourth grade, I got accepted

8:51

to gain, you know, gifted and talented education. And

8:53

was like, they're gonna figure me They're gonna say it

8:55

was a mistake, and they're gonna send me back.

8:58

Or I got accepted Harvard Westlake, and I

9:00

was like, oh my god. This can't be real.

9:02

Mhmm. I was I was always that person

9:05

that would only remember the questions that I

9:07

didn't know. And and I would think I failed every

9:09

test, but then you get an you know? Yes.

9:11

So that was my personality. My mom

9:13

was always the person that was Ive, you're so

9:15

smart. You're so beautiful. Meanwhile, I was

9:18

so skinny. I had a mustache. My parents

9:20

wouldn't let me shave my legs because that meant you were

9:22

being promiscuous or something. I

9:25

was totally a nerd, I

9:27

think, all the way up into college.

9:29

College is when I well, which I

9:31

actually really appreciate and wish for the same

9:34

things for my teenagers. Mhmm. Because

9:36

I think you can watch I would say you're watching

9:38

the circus from the nosebleed section. I want

9:40

them to have their friends doing all of that stuff.

9:43

They can learn from their friend's mistakes. And then

9:45

when they have the aptitude

9:47

and the maturity to actually process

9:50

and know who they

9:50

are, then they can venture into the circus.

9:53

Oh, wait. Totally that. I had three older sisters

9:55

and I believe that made such a

9:57

difference on who I am today. Mhmm.

9:59

I got to watch them make their mistakes and

10:02

experiment. Right. They even

10:04

experimented some on me. And so but,

10:06

yes, I I do believe that makes a big

10:08

difference. Okay. So you

10:11

specialize in both cosmetic surgery

10:13

and non surgical

10:14

treatments. Yes. With both of these,

10:16

what is your general philosophy? My

10:19

general philosophy and my entire

10:22

niche and why people come to me

10:24

from all over the world is natural results.

10:26

I don't think anyone should look

10:29

at anyone and say, oh, that person has

10:31

their lips filled or that person has

10:33

had work done. Which is a double edged

10:35

sword. Right, Robin? Because people walking down the street

10:37

only notice someone who looks like an alien they're like

10:39

plastic surgery so bad. But if they see

10:41

good work walking past them, they're like, wow, she's so

10:43

beautiful. And then plastic surgery doesn't

10:45

get the credit. So our

10:48

whole philosophy, whether it's

10:50

invasive, non invasive, skin

10:52

Ive like everything. No one should know

10:54

you had anything done. I want you to

10:56

be able to tell your friends and Facials, you

10:58

came out to California, went to

11:01

Joshua Tree, did a juice cleanse, and that's all you

11:03

want. Ive love

11:05

that. And also, like, I think I think

11:07

the other philosophy, it's it's a combination. We

11:09

don't age in one dimension. Mhmm. So

11:11

for example, when I first started doing facelifts,

11:14

I noticed that Ive

11:17

thought I did a great job. And I'd be like, finally,

11:19

I'm with my husband. I was like, look, look, look, look, we're an amazing

11:21

she looks amazing. Right? He's like, but she still has

11:23

wrinkles and spots on her face. And I was like,

11:27

So the Ive came into my head of making

11:29

a bed. Imagine you go to a hotel and the

11:31

sheets are tucked in, but they're stained and

11:33

wrinkled. Yes. Right? Yeah. So nobody

11:36

wants to sleep in that bed. Yeah. So I just

11:38

that's how I got into skincare, and that's how I got

11:40

into lasers because I said, you know what? Everything

11:42

has to make sense. You can't have a

11:44

young neck and old eyes. Yes. You

11:46

can't have young eyes and old

11:49

skin. So on and so forth.

11:51

Or fat transfer into the face.

11:53

You know, we deflate our skeleton strength.

11:55

We lose muscle and and fat in the face.

11:58

So you can't just do a facelift and not

12:00

optimize the volume. So all

12:02

of the so that's kind of our philosophy is looking

12:05

at everything as an entire unit, rejuvenating

12:07

it as an entire unit, I just did virtual

12:10

consults today before I came here. Mhmm. You

12:12

know, patients from Florida.

12:15

She wanted and also I'm known as the Small Breast

12:17

Queen. I love Small Breast, so people come to me for

12:19

small breast implants or fat transfer into the breast.

12:21

So but I you know, she wanted implants

12:24

and I said, okay, great. But we have to fix

12:26

your skin on your chest. So much sun damage.

12:29

So it's Ive think having the

12:31

best of both worlds, people know that you're

12:33

not just you know, a hammer and everyone's

12:36

nail. Mhmm. So if patients

12:38

come to me for surgery, sometimes then I'm like, you don't

12:40

need surgery, all you need is this. And they're like,

12:42

oh, thank you so much. Or they'll come in for

12:45

something non surgical. And I'm like, babe, you've had

12:47

ten kids. You need surgery. Yes. Yes.

12:49

Yes. So it's but usually, I'll tell you it's a

12:51

combination of both modalities.

12:53

Uh-huh. I love it. I I have to tell you

12:55

personally, I believe in lasers

12:58

so much. And I've lived here

13:00

now twenty one years and I really started

13:02

using laser therapy back

13:04

in Dallas. Mhmm. And that was

13:07

back when they were just beginning

13:09

to create laser therapy

13:12

machines, I guess, is -- Yes. -- I've always referred

13:14

to them as that. Mhmm. And I

13:16

went to a dermatologist because I've always had

13:18

a problem scan. Mhmm. And I

13:20

had a wonderful dermatologist there

13:22

and his aesthetician was just a

13:25

doll and very smart. And now

13:27

you remember them calling me and saying, we're

13:29

thinking of buying a laser machine so

13:31

they've brought one to our office and we get to

13:33

keep it for two days. We'd love you to come in and

13:36

have a treatment. And it didn't go well because

13:38

they got confused on the level -- Oh,

13:40

god. -- of street they should

13:42

use. And I they really burned me

13:44

-- Mhmm. -- or she did. Mhmm. And

13:47

thank heavens, she started on my chest and

13:49

my neck. And before she got to my face,

13:51

I said something's not right. And

13:53

this, I'm on fire. Ive like, on

13:55

fire right now. So -- Mhmm. -- I won't go into

13:58

the whole story, but it turned

14:00

out to be okay because I

14:03

peeled and Yes. -- the skin looked

14:05

better, but I had to have treatment on

14:07

it and everything then.

14:08

Ive though I started out with that problem,

14:11

I have always believed in lasers. Yeah.

14:14

I think they're and it's gonna like

14:16

it's come such a long way and people don't

14:19

know everything that's possible because I feel like a

14:21

lot of places you go, they have one laser.

14:23

Yeah. Or for example,

14:26

in places where people tend to be more light

14:28

skinned, they have a laser that should only be used

14:30

on light skinned people. So when a person

14:32

of pigment goes in, they use that laser and burn them

14:34

or cause hyper pigmentation or

14:37

melasma to flare or So

14:39

I think it's not a one size fits

14:41

all. Yes. Yes. I I was so

14:43

impressed when you said you Ive, what, thirty?

14:45

Mhmm. want that. So

14:48

and what? What is the basic

14:50

concept of non invasive laser

14:52

Facials? And so how does that

14:54

work? Well, I think the

14:56

basic concept is we're trying to rejuvenate and

14:59

we're trying to shove a bunch of collagen into

15:01

the skin always. We start actually losing our

15:03

collagen at twenty Ive. You know how we lose our eggs

15:05

at thirty. It starts going downhill. The collagen

15:07

starts going at twenty five. So

15:10

using proper skin care products with peptides,

15:12

and growth factors to turn on the circuit breakers

15:15

for college and elastin formation as

15:17

early as your twenties is really a gift.

15:19

And it's hilarious women, my age, the ones

15:21

that they're and looks, you know, really good.

15:23

Their mom was an aesthetician at work for a plastic surgeon

15:25

and told them to start in their twenties. So really you

15:27

do want to start in your twenties to maintain. But

15:30

again, it's just to get rid of fine lines and wrinkles.

15:33

Now there's actual tightening modalities that

15:35

work, which was Ive the holy grail.

15:38

And get rid of sunspots, you know,

15:40

rosacea can be redness

15:42

can be treated

15:44

very effectively now with vascular

15:46

lasers that attack the pigment of

15:49

blood. Mhmm. So there's something

15:51

for everyone at this point. It's

15:53

just finding the right one for you and

15:55

maybe going to or that doesn't just

15:57

have one -- Uh-huh. -- and can tell you,

15:59

okay, these both of these lasers can help

16:01

you. This one has no downtime. So

16:03

for actresses or people that are doing public

16:05

speaking, no downtime. You'll need to

16:07

do four to six sessions of this one. Or

16:10

if you have two weeks of

16:11

downtime, I can use this one. And it's

16:13

kind of like one every two to five years.

16:15

Yeah. Ive love that. So let me

16:17

ask you this because and tell me if I'm

16:19

wrong. I believe,

16:22

I have always believed that it's

16:25

never too early to start taking care of

16:27

your skin. Taking care of your health, taking care of

16:29

your body, but especially we're talking about skin today. So let's

16:31

focus on that. I think it's never too early

16:34

to start taking care of your skin because

16:37

I grew up in Texas where

16:40

the sun is so hot and

16:42

so damaging. And

16:44

I had very fair skin. I

16:47

had red hair. Actually, I had red hair when

16:49

I was very, very, very young and

16:51

freckles. Mhmm. And so

16:54

Ive knew better than to get out in the sun

16:56

because one time I did fifteen my grandmother

16:58

and got so sunburned, I

17:00

just cried like a baby said a

17:02

prayer to God that if you will take this

17:05

pain away, I promise I will never get

17:07

back in the setting And I never did.

17:09

So I was the youngest of four sisters

17:12

And my

17:14

older sister had very fair skin.

17:16

Two of my sisters really enjoyed being in

17:18

the sun. They did protect their skin. Mhmm.

17:20

However, I really never

17:23

got back in the sun because it

17:25

was just so damaging and so

17:27

painful. And so I

17:29

still think about that time. I still

17:32

remember thinking, oh, wow.

17:34

I'm so glad I never got back in the sun and

17:36

burned myself like that. And then I get

17:38

to be nineteen years old,

17:40

I meet my husband, Philip. Mhmm. His sisters.

17:43

He had three sisters and his mother

17:45

would just bake in the sun. Mhmm. They would just

17:47

got in the backyard get on a blanket.

17:50

No pool. No host.

17:52

Nothing. They would just lay out there and

17:54

just bake themselves in the sun because they really

17:56

wanted tan. Mhmm. And

17:59

they regret it. They years

18:01

later, they said, oh, I wish we hadn't done this

18:03

because I saw the damage it did to them. Mhmm.

18:05

So what I'm trying to get at is, I

18:07

think you can even be in your teens and

18:10

start taking care of not only your skin

18:12

with skin care products, but also

18:14

start taking care of your hormones

18:17

because I think that also plays a big

18:19

part in it. So then if

18:21

you start in your late teens,

18:23

I am so glad to hear you say twenties

18:26

is when you really should start focusing

18:28

on skin And

18:30

so I'm so happy to hear you say

18:32

that

18:33

Yeah. You know, it's actually interesting you just

18:35

gave me like a flashback to our test

18:37

questions for the boards. One

18:39

of the test questions is what is what

18:41

gives you the highest chance or what has the highest

18:43

affiliation with skin cancer as an adult,

18:46

and the answer is a sunburn as

18:48

a child. So yes,

18:51

you don't wanna be burning yourself, you

18:53

don't wanna be putting that oil on yourself

18:55

and going in the backyard and tanning,

18:57

which a lot of my patients They're

18:58

Ive, that's what I did. That's what people did.

19:01

But so I'm glad you're saying that because if you

19:03

did do that and now you're in your

19:05

thirties, forties, fifty, sixties. Right.

19:08

Or tanning beds. You tanning beds

19:10

are the worst. So another statistic

19:12

that might be interesting is one tanning

19:15

bed session increases your risk of skin cancer

19:17

by fifty percent So

19:19

you do not want to do tanning beds. I

19:21

always say get a spray tan. Like, worse comes

19:23

to worse.

19:24

Yes. Yes. Get a spray tan.

19:26

There's organic ones. Or,

19:28

you know, self tanner is another great option,

19:31

but please please avoid burning yourself

19:33

and also tanning butts. And that's interesting, Ed.

19:35

Those sessions you did in your twenties

19:37

can come back to haunt you in your

19:39

fifties, sixty, seventy. So continue to

19:42

go and get your skin checked. Yes. Well,

19:44

what are your favorite treatments for sun

19:46

damage and age

19:47

spots? Depends on the skin color

19:50

and the skin quality. So

19:52

for a person of pigment

19:54

Ive me or darker, I

19:57

would say PicoSure is an

19:59

amazing one. It's no downtime What

20:02

it does is it's the same wavelength as what

20:04

I call, like, Caucasian lasers. But

20:07

it it gives it in a PECO second.

20:09

So instead of it going through your skin slowly and

20:11

causing a burn and appeal -- Uh-huh. -- if you

20:13

burn my skin, if what you'd

20:15

happen to you on your chest happen to me, it

20:17

would be brown for five years. Like, it would

20:19

take forever to heal. So I always say

20:22

lighter skin types, you can burn them. They

20:24

turn pink, and then it goes away and they look great. No.

20:26

Thank you. Yeah. But my skin type,

20:28

you can't. So the way the picosecond lasers

20:31

work is that they punch

20:33

the skin, explode the pigment we

20:36

have macrophages which are our natural

20:38

jandered ourselves in our bodies. So I don't remember, like

20:40

you remember from high school biology, there was that cell in

20:42

KAYM-eight, the other cell. That's a

20:44

macrophage. So they're constantly scavenging

20:47

the body for damaged heart cells, damaged

20:49

liver cells, and you pass them, you

20:51

know, naturally. So

20:53

we're just taking advantage of that mechanism, exploding

20:56

those pigmented those cells and

20:58

letting the macrophages over three weeks.

21:00

Clean them out. Mhmm. So and I love

21:02

that laser because it's no downtime and

21:06

there's no sun sensitivity. So you know

21:08

when you're burned from a laser, they see get in the sun,

21:10

don't get in the sun. This,

21:12

you can do it all year round. So some of

21:14

our patients and it builds collagen too. So some of

21:16

our patients just do it with their Once

21:18

a month, they come in, every two months, they come in every

21:20

three months, Facials, pecosure.

21:23

Wow. And so that that's a great

21:25

laser. Another one

21:28

that is fantastic and is

21:30

a workhorse in my office is made by Citon.

21:32

It's called the Citon Jewel. They're

21:34

the ones that have BBL on there, which is

21:36

amazing for lighter skin types, hits reds

21:38

and browns at the same time, has a blue

21:41

light even for acneic patients to kill the

21:43

back criteria that causes acne. It can

21:45

hit superficial pigment and deep pigment

21:47

that you haven't even didn't even know was there

21:49

yet. So that's a great one

21:51

for lighter skin types. And it also has

21:53

halo on there, which is very much

21:55

like raxle, but doesn't is not as painful

21:58

and doesn't go all the way down to the fat. It just

22:00

stays in the dermis, which is where you wanna

22:02

be. Profractional is

22:04

amazing for burns, for scars,

22:07

acne scarring, or scarring in general.

22:10

And the Iridium laser. So that's another

22:12

one, Robin, that think is really important. So

22:14

everyone's heard of the CO2 lasers. Iridium

22:17

is the newer generation of the same

22:19

type of effect. So you're

22:21

doing full resurfacing, but the risk

22:23

of hypopicmentation of getting

22:25

those raccoon eyes or that white

22:27

pigment around your mouth is a lot less with hernia.

22:30

So a lot of older plastic surgeons

22:32

for example or older dermatologists have the CO2

22:34

technology, which is Ive. But

22:37

I think Iridium is a is a better, newer

22:39

-- Wow. -- reiteration of I not

22:42

heard of any of these. I'm just so excited.

22:44

Alright. Real. You can go for months

22:46

with all the lasers. But,

22:47

yeah, it is wonderful.

22:49

So after you do the ones that you just talked

22:51

about, because she said no downtime. Mhmm.

22:54

So the the other ones do. The

22:56

Pikka shirt doesn't -- Mhmm. --

22:58

but the other one does. I see. So if

23:00

you do a laser that you say has no

23:02

downtime, so a client comes into your

23:04

office, does the laser -- Mhmm. Does

23:07

the facial treats the skin, and

23:09

then they leave. Mhmm. Can they go

23:11

home and put on concealer

23:15

of

23:15

makeup. There's no damage to

23:17

the superficial layer of the skin, which is

23:19

why it works so well for every skin type.

23:22

You're about pink flushed looking like you

23:24

worked out for about ten to twenty minutes. Yeah.

23:26

And that's it. And I always

23:29

tell them the next day, those brown

23:31

spots might be one shade darker because we

23:33

just exploded them. Then it goes down back down

23:35

to looking like how it was and you're like, wait

23:37

a second. Why did I do this laser? Nothing worked? Uh-huh.

23:39

But it takes three weeks or you're not

23:42

macrophages to clear out that pigment. So I

23:44

always say put it in your phone. Uh-huh. Take a

23:46

picture and now take it again in twenty one days.

23:48

Look at the difference. And then we would retreat

23:51

at

23:51

thirty days. That's wonderful. Paste a plan

23:54

Ive if you have an especially band. Mhmm.

23:56

You really wanna lick your best and does

23:58

Kada. Planship before wedding.

24:00

I hit him a week before their wedding and they're

24:02

Ive, I need Botox and filler. You're like you're gonna

24:04

be Bruce for your

24:05

wedding. Oh, my gosh. Yeah.

24:06

You wanna Yep.

24:07

Start six months before. Oh,

24:10

that's so wonderful.

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26:08

Javier, tell me about the phone call you just

26:10

got. I get this call

26:12

from this guy who's known as Wild

26:14

Bill. Ive wanna be really

26:16

clear that I don't feel like

26:18

a serial killer. You know,

26:21

and and and when I think of the word

26:23

serial killer or the of a person who's

26:25

a serial killer, I think of a guy like, Ted,

26:27

bundy or or a person who who

26:30

does things for compulsion or emotional

26:33

needs, emotional reasons. And myself,

26:35

I'm not a person who has any blood bluffs.

26:38

These terrible things I did. I did, you know. I'm

26:41

starting about fifteen years ago, and and

26:44

and I was just off heartless cold blooded

26:46

soul who hurt and killed people

26:48

for

26:49

money. You know, I don't have a compulsion

26:51

to kill people or a desire necessarily

26:53

to do that. Listen to the full

26:55

interview with Wild Bill, an American

26:58

serial killer in Paradise,

27:00

season three of Criminal Conduct, wherever

27:02

you get your podcast. So

27:04

we do two things with every

27:06

podcast. We started this right before

27:08

our very first episode. And

27:11

The first one we do is the drink

27:14

of the day. And when

27:16

we do our drink of the day, the

27:18

staff creates the drink of the

27:20

day and honor a view and

27:22

our topic. So this drink

27:24

is called the Skin Shot. In

27:27

honor of your skincare e

27:29

commerce shop, the Skin

27:31

Spot -- Oh. -- we're going to have

27:34

a high grading antioxidant packed

27:36

wellness shot to keep our skin

27:38

plumped and refreshed. Mhmm.

27:41

So for all you listeners, just know, I

27:43

just picked up a shot glass that is ice

27:45

cold. It has one

27:48

aloe vera leaf, which you can get

27:50

at whole foods. One

27:52

tablespoon of lemon juice, six

27:54

ounces of filtered water,

27:57

and you take the Aloe vera leaf

27:59

and scoop out the gel with

28:02

a spoon. Put this gel into

28:04

a blender and add the lemon juice,

28:06

blend it well and gradually add

28:09

water, strain and or

28:11

into this chilled shot glass and shoot

28:14

it. This recipe will make four

28:16

shots. So cheers. Cheers.

28:19

I'm gonna do that.

28:19

No. Ive

28:23

think for it to be a true Sheila

28:25

drinker needs to have some caffeine in

28:27

it. I do

28:27

too. I do too, but that was delicious.

28:29

It was actually really good. So

28:32

then lasers can also be used

28:34

to remove hair and tattoos. Correct?

28:37

Mhmm. Can you talk about these

28:39

fabulous treatments? Because I

28:41

loved that, that all women

28:43

have unwanted hair on their face and their body.

28:45

I know that because I do. And

28:48

I don't have tattoos that I want to remove.

28:50

But if a woman gets a tattoo

28:52

at a fun time or a fun time of

28:54

her life or a serious

28:55

time, whatever And then decide she wants

28:57

it removed, you can do that. Yes. So

29:00

I will tell you, in Persian, you are

29:02

preaching to the choir about hair. Yep.

29:04

Yep. I think the things that people don't know

29:06

about hair is you wanna get laser hair removal

29:09

when the hair is dark. Mhmm. So don't

29:11

wait until your hair turns white because you're

29:14

you you lose that option. So

29:16

the laser hair technologies attack

29:19

dark chromophores, dark pigment of the

29:21

hair. So that's why blonde people

29:23

can't do laser hair removal, redheads really

29:26

can't do it either. There's other methods, obviously,

29:28

like electrolysis. But,

29:30

yeah, laser removal. And and I hate that it's called

29:32

removal -- Mhmm. -- because it's really reduction.

29:35

Mhmm. We're Facials, and I think

29:37

people have to under down that the hair a little bit

29:39

will come back, so it is a maintenance thing.

29:41

It's not something that you do successions and you're done

29:43

for

29:44

life.

29:44

I see. It's definitely thinner. It's definitely

29:46

sparse. But think it should be

29:48

called laser hair reduction -- Mhmm. -- if we wanna

29:51

be really accurate about it. There's also

29:53

a newer technology that's microwave technology

29:55

for the armpits called miraDry. And

29:58

that one gets rid of eighty two percent of your

30:00

sweat glands and seventy percent of the hair

30:02

regardless of hair color. Because

30:04

it's not a laser attacking dark

30:06

pigment. It's actually microwave technology

30:09

that's been used in medicine for decades,

30:12

but this is just a cosmetic application

30:14

of it. So Ive actually I was the

30:16

first Ive was the first patient. That's what I do.

30:18

I, like, bring things in and I remember telling

30:21

my half. Guys, I love this

30:23

thing. It makes you not sweat,

30:25

so you don't need deodorant anymore. And

30:27

we're gonna get a bunch of taxi drivers in here, but

30:29

I'm getting it anyway. But it ended up Robin

30:31

being the most beautiful, talented people

30:33

coming in for the treatment because who doesn't want

30:36

to sweat? It's people that are standing up in front

30:38

of a crowd. Uh-huh. So corporate folk,

30:40

actors -- Yep. models walking down a

30:42

runway, they don't want sweat stains. So it's just

30:44

like sometimes the people were so attractive. I felt like

30:46

I was staring into a sun. So it was complete

30:49

opposite of the patient population. I thought it was

30:51

gonna bring in, but it's really been such. I mean,

30:53

some people hype hyper and they have fibrosis. This

30:55

is a godson. For them. Others

30:57

just don't wanna Ive, it's like laser hair removal.

30:59

They don't wanna shave or they don't wanna put on deodorant They

31:01

don't wanna have to think about that. So

31:04

that's a really interesting technology that gets

31:06

sort of sweat glands and hair regardless

31:08

of hair color. Wow. So that's that.

31:11

And then tattoos, I'm

31:13

very Jewish, so I don't have any,

31:15

but I end up being, like, the spokesperson for all

31:17

these tattoo removal machines, so I feel like I'm doing

31:20

God's work. Yeah.

31:22

I think the the picosecond tech technologies

31:24

do a great job of removing all

31:27

pigment because traditionally greens and oranges

31:29

were difficult. I will make two

31:31

public service announcements regarding tattoos

31:34

never get white tattoo ink

31:36

because it has the quorum of what's

31:39

like gunpowder in it and if you laser white

31:41

tattoo ink, it will turn black. So

31:43

if you are getting a tattoo, that

31:46

okay. You know, think about a lot, but

31:48

okay. But just don't get any white

31:51

pigment blended into it to create

31:53

shading or anything because really then you

31:55

cannot do anything to remove it. Number one,

31:58

slightly off topic, but you reminded me

32:01

I just want tell people belly

32:03

rings, belly button rings. When

32:06

you get pregnant, it will look like a bucket handle.

32:09

So I'm just throwing that out there. I think

32:11

they're super cute. I totally get it.

32:13

But whether you leave the belly button ring in

32:15

or not, When your belly expands,

32:18

that little hole expands and literally looks like

32:20

a bucket handle and it's not cute. So

32:22

if you can, so funny.

32:24

I'm very visual, so I could see that.

32:26

Oh, that's why I just had to

32:28

throw that announcement. I love

32:30

that you told that. Because I

32:32

have to say we've had so many people on

32:34

the show that regretted

32:37

getting tattoos once they got pregnant.

32:39

Or once they had a baby, they had

32:41

a tattoo that they took so many

32:44

photos of them holding their baby

32:46

or nursing their baby and then there was that big

32:48

tattoo and I'm just saying they regretted

32:50

it. They they said, oh, I really regret

32:53

I have this precious little baby in my arms that

32:55

they go,

32:56

snake tattoo or, you know, whatever.

32:58

I think it's just, like, little tiny ones. You know how

33:00

a lot of people are doing, like, the little -- Yeah. -- very

33:02

faint drawing or

33:05

very faint cursive writing -- Yeah.

33:07

-- those are really easy to remove because

33:09

they're not deep and it's not a ton of pigment.

33:11

Yeah. Sometimes those come out with one session.

33:14

Right? So the older the tattoo and the

33:17

less deep the ink and the less ink

33:19

used, it comes out much more quickly

33:21

than those very

33:24

colorful tattoos or fresh tattoos.

33:26

Yes. And going back to the

33:28

laser hair removal, Ive tell

33:30

a secret here. And we lived

33:32

in Texas for so long, and

33:35

I play tennis outside in that heat.

33:37

Ive sweat. Mhmm. Now, why

33:39

is that? What? Why is never sweat?

33:42

You

33:42

do, but just not, like, you know, crazy.

33:44

And people have to understand that your

33:46

entire skin organ sweats.

33:48

It's just a few areas that

33:50

we are bothered by

33:51

it. The arm hits, the groin, and the

33:53

feet.

33:54

Ive never sweat in my armpits. I've never

33:56

worn deodorant. Yeah. That's amazing.

33:58

You're blast. It's crazy. It's crazy. And I'm thinking,

34:00

is there something wrong with me? No. Nothing's wrong with

34:02

you. I mean, you know, this the glans

34:05

in your armpit are only two percent of your

34:07

body's sweat glands. So getting I get that question

34:09

all time with this procedure. Is it safe? Isn't it

34:11

good to yeah, you're still sweating from ninety

34:13

eight percent of your skin

34:14

Oregon. Ive totally had hot flashes when

34:16

I started the process of menopause. So

34:18

I I do know my body will sweating

34:20

-- Yes, sir. -- but my armpits never

34:22

done. Okay. That's such boring information.

34:25

I know. But so can you fill

34:27

in your belly button piercing hole

34:29

No. You actually have to remove it. So whenever

34:31

I do mommy makeover and I'm doing a Tommy

34:34

Tuck, I'll actually pull it down

34:36

and just ellipse that bucket

34:38

thingy out. Or if I'm not even just doing

34:41

a tummy tuck under local anesthesia, you can cut

34:43

it out, but then you'll have a, you

34:44

know, a little bit of a scar, a little line of where

34:46

it

34:46

used to be. Wow. So you

34:48

have to actually remove the pier seat.

34:51

We'll

34:51

remove the pier seat and then remove the bucket handle.

34:53

Bucket handle. Yeah. Wow. Yeah.

34:55

Because I have I had pair years

34:57

when I of course, when our first son, Jay

34:59

was born. And he is,

35:01

like, forty two now. But

35:04

when he was ten months old, he grabbed on

35:06

my earrings, and I have never had it

35:08

fixed because they went into such detail about

35:10

fixing

35:10

it. They took

35:11

a bit of It's so busy, Robin. It's fifteen minutes

35:13

awake. You walk in. You walk don't worry about that. I'm

35:15

gonna have a face.

35:16

Yeah. It takes two seconds. Hearing or so.

35:18

Okay. And we can't just

35:21

get amazing skin without paying

35:23

attention to skin care

35:24

habits. Can you tell us about GRASS?

35:29

GRASS. GRASS. Talk about

35:31

secrets to share with everyone. So again,

35:33

in your twenties and above, you wanna

35:35

be minimally on grass.

35:37

So g is for growth factors. So these could

35:40

be human based growth doctors, animal

35:42

based, plant based. But basically, these

35:44

are the ones we talked about that turn on the circuit

35:46

breakers for you know, growing

35:49

elastin in your own collagen. Now,

35:51

I will tell you what I personally have found.

35:53

You know, sometimes when you're using a shampoo and then you switch

35:55

your shampoo at your look so much better. Yes. And then you

35:58

do that for a few months and then you go back and then

36:00

we did that yesterday. Yeah. So I feel like it's

36:02

the same thing with growth factors. So I will actually

36:04

go back and forth between two different products

36:06

of growth factors and I find like I get

36:09

constantly a different glow. When

36:11

my skin gets you to one. And then I can go back

36:13

to the old one. Uh-huh. And most products have

36:15

a two year shelf life once you open them, so

36:17

they're good. So you can, you know, go back and forth.

36:19

Yeah. But that's one secret, retinols.

36:23

So there's only two things in the whole entire

36:25

world that are biopsy proven to reverse

36:27

sun damage. Okay? Retinols

36:29

and antioxidants. So retinols are based

36:31

on vitamin a. There's

36:34

products like Bucacheal that can actually

36:36

minimize redness, but the secret to using

36:38

retinol, everybody's Ive, what which one

36:40

should I use? What strength should I

36:42

use? And always say the one you'll actually use.

36:44

Uh-huh. Because if you use retinin all every day and your

36:46

aversion to retinol. Your skin is

36:48

gonna turn red, irritated, you're gonna start to

36:50

peel. So I always say use it two or three nights

36:52

a week, start with lowest dose, two three nights

36:55

a week, but see if you're okay, start

36:57

do that for like a month, and then go to four nights a

36:59

week, stay there for a while. And I always say me personally

37:01

took me seven months be able to use retinol every night.

37:04

Really? Then when you're at it using it every night,

37:06

then you can go up a strength. You don't have

37:08

to. There's no like this isn't Ive weight

37:10

lifting that if you lift heavier. It's

37:12

better. As long as you're using it, you're you're

37:14

good. So that's retinol. We just

37:17

came out with retinol serum from my skin

37:19

care Ive, which is accretably moisturizing

37:21

and really well tolerated by everyone.

37:24

So that's our retinal serum. And how

37:26

do you apply it? Literally would

37:28

go for me. It depends on how many things you're

37:30

using. I have, like, twelve steps of measurement

37:32

at this point, but I always say, thinnest

37:35

to heaviest. So you're gonna wash your

37:37

face, start with the serums, go to

37:39

maybe the gel like ones, and then the

37:41

creams at the end. But but with your hands,

37:43

with with your hands. Yeah. When you wash your face,

37:46

your hands are clean enough. So you don't need to and

37:48

I just ask this because I had a friend who

37:50

was starting to use retinol. Mhmm.

37:52

And she did have a great reaction

37:54

to it, so she had to be very careful and

37:56

just do it once we -- Mhmm. -- and she

37:58

put it on with her hands and her hands got irritated

38:01

as

38:01

well. Yeah. And if she if she had

38:03

dry hands, it can it can really dry you out,

38:05

it really really can. So maybe she was using too

38:07

strong of a dose. Okay. Because sometimes people go to,

38:09

like, the Trentonnoens. And they should've just

38:11

started with, like, a point two five retinol.

38:13

Yeah. But they'll jump into, like, something

38:15

ten times stronger than that because they wanna see

38:18

major results, but you can't do Exactly. You can't

38:20

do that. You gotta work your way up. So

38:22

the artist for retinols, then

38:24

you have the a in our little grass word.

38:27

So a is antioxidants. Now it

38:29

could be vitamin c, it could be vitamin

38:31

b based products like it

38:33

could be Ive niacinamide. Those

38:36

are really brightening. They're also

38:38

anti aging. They're great for sunspots as

38:40

well. Vitamin c

38:42

just to let you guys know doesn't do well

38:44

with acneic patients. So if you

38:46

are prone to acne and use of vitamin c product,

38:49

you might break out even more. So that's

38:51

when you wanna go to the niacinamide, the vitamin

38:53

Bs, or resveratrol, things

38:56

like that. So just make sure

38:58

you know that. So

39:00

that's that. And then green tea polyphenols are

39:03

amazing too for patients that are acne prone

39:05

because it also takes down some redness. There's

39:08

many options, but you do wanna be

39:10

using an antioxidant, sis for sunscreen.

39:13

I always, you know, do recommend a

39:15

physical sunscreen screen instead of a chemical

39:18

sunscreen. Chemical sunscreens have now been

39:20

shown that if you put it near your hairline,

39:22

some of that hair can fall out. But

39:24

I love chemical sunscreens

39:27

because they're Ive they blend well. You know

39:29

what I mean? So always in your makeup products

39:31

when it's like a little bb cream and has some sun

39:33

they're gonna use a chemical sunscreen because it just

39:35

blends really well. Physical sunscreens

39:37

tend to be a little bit more chalky or you

39:39

have to sit sit there and blend it even more.

39:42

But because of all of the things I just told

39:44

you, we Ive, you know, I like like physical

39:46

sunscreens. I like it to be a little bit tinted.

39:48

And the trick to them too is put on a moisture

39:51

dryer beforehand or put on your skin care regimen

39:53

beforehand, they tend to blend a lot

39:55

better. If you're just washing your face and putting

39:58

sunscreen on, it's gonna look chalky.

40:00

So so that's

40:02

that's another secret. Another tip. And

40:04

then the last s is a specialty product.

40:07

So it really depends on kind of what

40:10

your skin needs. I have found

40:12

a lot of luck with derm our derm roller. We

40:14

have a gold roller on the Ive. And

40:17

I like the gold. It's an antimicrobial. It

40:20

lasts for at least three years. And

40:22

every Sunday, what I do, this is my specialty,

40:25

is I will roll out my skin, my

40:27

neck, the back of my hands, my chest, I have

40:29

a body roller, and

40:31

I use it with a snail

40:33

serum. So these nails are from Spain

40:35

and the glue that comes out of them is very high in

40:37

collagen. And so I'll

40:39

actually smear it on and then roll it

40:41

in and then smear on some more. It

40:44

does not hurt when you're doing it. It feels

40:47

like a slight sunburn maybe for, like, fifteen

40:49

minutes afterwards. But everyone

40:52

on Monday morning is Ive, oh my god, your skin

40:54

looks so good today. Ive love that.

40:56

So that's it. I mean, and and that was when really

40:59

viral during the pandemic

41:01

because, you know, all of our offices were shut down. So people

41:03

were Ive, oh my god, I've been getting these treatments. I've been building

41:05

on my collagen, and now I can't do anything. So

41:08

I went on, you know, my Instagram, really started

41:10

saying, this is the stuff I do. And people

41:12

were like, thank you so much. God bless you. And, you

41:14

know, so a lot of things can actually be

41:16

done at home. Yes. So the way I like people

41:19

to think about it is come coming into my office.

41:21

I'm your trainer. I'm gonna push you harder.

41:24

And and use different equipment than you might have

41:26

at home, but that doesn't mean you shouldn't work out home.

41:28

Uh-huh. So I always say it's, you know,

41:30

help me help you. This is what we're gonna do

41:32

today. Here's what you're gonna do in between

41:34

treatments at home. Oh, I love

41:36

it. I love it. Well, I'd love for you to

41:38

talk about your non profit the Nazarian

41:41

Institute. Tell us all about that.

41:43

Yeah. So Ive actually saw a huge

41:46

need there. I did

41:48

I was an economics major at Columbia University,

41:51

and I did the Marshall

41:53

School of Business between General Surgery and Plastic

41:55

Surgery and had my second child. And

41:57

so having gone to business school, I was like,

41:59

oh my gosh, I wish somebody would Ive taught

42:02

me business skills when

42:04

I was young. And so

42:06

Ive started the Nazarian Institute because I didn't

42:08

see any business skills being taught to

42:10

physicians. It was almost like a dirty word.

42:12

But I feel like in order to have a profitable and

42:15

sick successful practice. You need to know

42:17

your balance sheet. You need to know how to

42:19

do HR. You need to know how to

42:21

lead and have leadership skills. You do need

42:23

to get over your impostor syndrome. You

42:25

do need to go into meetings with confidence and

42:27

be able to speak the language of finance with

42:29

people. That's so true. Yeah.

42:32

So I was like, you know what, we're not getting

42:34

taught any of that. So I started the Nazarian Institute,

42:36

and our conference is called Think Big. The

42:39

big stance for branding innovation

42:41

and growth. We've had Tamara

42:43

Mellon who is the cofounder of Jimmy

42:45

Choo Kino. We've had Chris Jenner keynote.

42:48

We had that Really frank, keynote, but

42:50

really all of our speakers were keynote. And

42:52

this is pre pre pandemic. We've actually taken

42:55

it online now if people can sign up

42:57

and watch the videos on their own terms

42:59

at this point. But healthcare providers

43:01

from every branch of medicine,

43:04

from nurses, to managers, to

43:06

doctors, were coming in,

43:08

and it was literally keynote after keynote.

43:10

I mean, people wouldn't even get up to go to the bathroom because

43:13

every talk was so good. Yes. And

43:15

what ended up happening, which was really interesting,

43:17

is the first day. Because, you know, like, I'm sure as you start

43:19

your podcast, it kinda morphs into what it wants

43:21

to be. Yes. So the first day, we

43:23

were teaching a lot of, you know, business

43:26

branding, social media skills,

43:28

all of that. The second day, we were Ive,

43:30

okay, how do you stop getting in your own way?

43:32

Yeah. So it was a lot of personal growth

43:35

and things like that. And every

43:37

year, we had someone come to us and say, you

43:39

know what? I was was suicidal.

43:41

I was burned out, and this conference saved my life.

43:44

Which is so strange because it was a business

43:46

conference. We didn't set out to do that.

43:48

So it's actually really something super

43:50

beautiful when the pandemic hit. We

43:52

took all of the previous lectures, took them

43:54

online. It's under Nazarian institute

43:57

dot org. And people

43:59

from all over the world can watch these videos

44:01

on their own

44:02

time. That's so wonderful. It was

44:04

great. And we have new speakers all the time.

44:07

That is wonderful. The ones you've already listed

44:09

are just brilliant. Ive Brilliant.

44:12

Brilliant women. Oh, I love it. Yeah. And

44:14

we have male speakers too. It's for everyone. Yeah.

44:16

Congratulations. Thank you. And agree

44:19

with your theory behind it. It's

44:21

just wonderful. You're right. You you go

44:23

to school and you're so busy learning

44:26

everything you need to do to become

44:28

a physician. Mhmm. And

44:31

unless you really are taken early

44:33

on when you're young and taught

44:35

these things -- Yep. -- but it's so important.

44:37

Yeah. I heard you say a, quote,

44:40

success without fulfillment is

44:42

failure. And I loved

44:45

that I'm really big on quotes anyway.

44:47

I just gravitate towards

44:48

them. I write them down. I have a file at home and

44:51

whatever. I love quotes especially when

44:53

they really touch me. And I

44:55

love success without fulfillment is

44:58

failure. Yeah. So true. I

45:00

tell my residents and my students all the time

45:02

because they're so laser focused, and I was too.

45:04

Guilty is charged, laser focused

45:07

on my career. And thank God, I

45:09

went to Albert Einstein College of Medicine, which is

45:11

Yoshiva University's Medical School. So

45:13

half of the people in my class already had four

45:15

kids by the time they were in medical school.

45:17

I remember walking to class and seeing twenty

45:19

kids chalk drawing on the floor and I was Ive,

45:22

I'm behind. Like, I need to

45:24

put this on my to do list, so I literally wrote down

45:26

my to do list, get married. Uh-huh. And

45:28

I told my family in New York and I'm Persian.

45:30

So once you set out the bells that you're ready,

45:32

you have five dates a week set up for you

45:35

with, like, doctor account lawyer, you

45:37

know, on on on Speed dial. I

45:39

just would go out with everyone and stay

45:42

friends with everyone, so they would invite me to their parties.

45:44

Ive though if didn't work out with them, if you can meet

45:46

their friends, just spreading that net Ive right

45:49

there that's just such a good secret.

45:51

Put just put my, you know, tentacles

45:53

in that spread that net wide. And

45:56

finally, you know, met

45:58

my husband and it was Ive super easy.

46:01

We were engaged in three months. And I by

46:03

the way, the guy who set me up with him told me, you

46:05

know, you're in LA for a few weeks. This

46:07

guy, you'll have a good time, but he never wants to get

46:09

married. That's how I was introduced. Oh.

46:11

I don't think I would challenge. Yeah. But I

46:13

wasn't even I was just like a yes. I was like, I'm gonna

46:15

say yes to everyone. I'm gonna be nice to everyone.

46:18

I'm a stay friends with everyone and just get to meet

46:20

as many people as possible because it really is a

46:22

numbers game. But if you're engaged

46:24

in three being yes, but the point is

46:26

coming back to your quote, is

46:29

Ive especially people in my world,

46:31

we get so caught up in career, but

46:34

you have to really look at, you know, your in ten years,

46:36

twenty years, and say, what is gonna fulfill me? And if

46:38

that includes marriage or if it includes

46:41

kids or if it includes anything

46:43

else, you can't just expect that to

46:45

happen. That's right. And Ive could have been the most

46:47

successful plastic surgeon, but

46:49

I would have been all alone, unhappy, and

46:51

bitter. Because to me,

46:54

fulfillment includes a family. And

46:56

so I'm so glad that I actually, you know,

46:58

no matter how tired I was. I put on some lipstick.

47:01

I went out to the club. I went out on the

47:03

states because

47:04

Ive feel fulfilled.

47:06

Ive that. How long

47:07

have you been married? Almost eighteen years.

47:09

I don't even know how. Oh, congratulations.

47:12

Thank you. Philip Jokes all the time.

47:14

Well, no, he's serious. And

47:17

I say, that's not true, but it's

47:19

kind of this joke that we

47:21

go back and forth with. And he said on the first

47:23

date, I walked him by a church. Mhmm.

47:26

And then we kind of paused

47:28

right in front of the church. He says, I

47:30

did. And then I looked at him and said,

47:32

how do you feel about marriage? said

47:35

it was not our first date. It was Ive our third

47:37

date, but I

47:39

did want to

47:40

know. I was very forced to I had to waste my

47:42

time. I told my husband on the first date

47:45

at Catana. Right? Ive, literally, five

47:47

blocks down from here. I told him just so you

47:49

know, I don't date anyone for longer than six months.

47:52

I love it. Because, like, these women

47:54

are dating these men for, like, a year, two years, three

47:56

years before, you

47:56

know, you're fifty. Right. don't have time.

47:59

Like, yes, you all know. I thought he needed

48:01

to know. Ive do

48:03

want to be married and have children.

48:05

How do you feel about marriage? That's

48:07

true. About children. He did say he

48:09

didn't wanna ever have

48:10

children, but I do. I do

48:13

better. Ive knew he I knew his heart. I knew

48:15

he would I mean, say, tell me, I mean, I got hooked

48:17

up with a guy got on a date that never allegedly

48:19

wanted to get married. But he went home after the first

48:21

day called the sister instead of marrying

48:23

her. So there we go. Oh, okay. We used

48:25

to marry six years. Wow.

48:27

Yeah. That's amazing. Thank you.

48:29

Yeah.

48:30

It's like you know. But That's so

48:32

wonderful. And you have two children. We have

48:34

three children. We have three children. Ive

48:36

have a fifteen year old girl, fourteen year

48:39

old

48:39

boy, and eleven year old girl. Congratulations.

48:41

Thank you. We're deep in it. We're deep in the teenagerness.

48:44

Yes. You are. That's so

48:46

far. So can you tell us about

48:48

anything exciting coming up?

48:51

Oh my gosh. I feel like I I still

48:54

haven't taken my little moment to

48:56

reflect on twenty twenty three. You

48:58

know what I mean? No. We have conference is

49:00

coming up. I'm actually going to Egypt in

49:02

May. I'm going to Turkey in October.

49:06

We're going to Korea for and Japan

49:08

for three weeks in the summer, my daughter, my fifteen

49:10

year old actually speaks fluent Korean. Uh-huh.

49:13

She taught herself over the pandemic lately.

49:15

She got accepted into one of the universities there.

49:18

So so we're all going to Korea. K.

49:21

Great. So this is

49:23

good stuff. You know, I just think we,

49:25

you know, we did the Netflix show. We did all

49:27

of that. And I think what the pandemic showed

49:29

me and is I was I remember I was sitting in my,

49:31

you know, home office. I

49:33

was looking at the view, and

49:36

I said, I did it. Like, why

49:38

am I running so fast still? Like,

49:41

I have this beautiful house. I'm I'm never

49:43

in it. Yeah. You know, I sleep here

49:45

basically. Yeah. So I just I

49:47

realized you know, the kids, especially as you

49:49

know, the teenage years, I think they need you

49:51

the most. Yeah. And I I still do stuff,

49:53

you know, I still do fun stuff like this. We have the podcast.

49:56

I do a lot, but really, I think the

49:58

most important thing is being a mom

50:00

-- Mhmm. -- and being home with your kids.

50:02

So even, you know, I'm speaking in Utah

50:05

in a couple weeks, they're coming with me. Ive,

50:07

so excited. I try to involve them. I

50:09

try to take them with me every everywhere I go,

50:12

and I try to work from home as much as I

50:14

can. I'm operating about two days

50:16

a week. I do virtual consults

50:18

from home. I do all the podcast stuff

50:20

usually from home. And I'm

50:22

in clinic once a week. So it's

50:25

great. I think I have a great balance right now.

50:27

And everybody always says that right to you can have balance

50:29

but not all at once. I disagree. I

50:31

think that that's true in your twenties and maybe

50:33

your thirties, but in your forties, you really

50:36

are your own master of your own ship.

50:38

Mhmm. You can time anything out however

50:40

you want. And really, you can have it all

50:42

at the same time. It just takes a minute to get

50:44

there. Ive love

50:45

it. I love that you say that because I believe

50:47

it. I agree with you.

50:51

So on this podcast, as I said earlier,

50:53

I decided before we Ive started podcast,

50:55

I wanted to do two things. We've done our drink

50:57

of the day. Now it's time for us to do the

50:59

game of the day. Okay. Because I love

51:01

playing games. I love having fun. Mhmm.

51:04

And what better time after

51:06

speaking of your three children and how much fun

51:08

you are having with them now.

51:11

Let's play our game of the day. And this

51:13

game also was created just for you

51:15

and our topic

51:16

today.

51:16

And the name of the game is skin

51:18

decision. Okay. In

51:20

honor of your Netflix series,

51:23

skin decision before and after,

51:25

we're going to play a game where we need

51:27

to make some choices. I'm

51:30

going to read off two skin healthy

51:32

options. And we both need

51:34

to pick the one skin decision

51:37

that we can't live without. Okay.

51:39

Now as I said, my staff here are

51:42

brilliant, and they come up with the drink

51:44

of the day, and they come up with the game of the day. So

51:46

I have not seen this. So I want you to know, I'm

51:48

not cheating.

51:50

So number one, retinol

51:53

or vitamin c.

51:55

Do you want to go for our scosh? It's

51:58

like saying air or water.

52:02

Ive would say for most

52:04

people Ive think retinols for everyone,

52:06

so I'm gonna go with

52:07

retinol. Okay. I'm so glad

52:09

that we're playing this together and because you're

52:11

the one that knows everything

52:13

about it. I when

52:16

we talked about this earlier, I jumped. I'm

52:19

gonna say vitamin c. I think it's

52:21

so interesting that you said acting prone skin.

52:24

Should not use vitamin c because

52:26

I grew up with acne. Mhmm.

52:29

I have some flare ups sometimes, so I'm

52:31

but I'm still gonna say vitamin c. Okay?

52:34

They're both really

52:35

important. Can't go wrong. Okay. Number

52:37

two, nuts or seeds. Nuts

52:41

or seeds. Well, nuts can

52:43

cause acne breakouts. I

52:45

love nuts though for me. So I would say

52:47

seeds are more for everyone. But

52:49

if you don't break out, I mean, I love my almonds.

52:52

So

52:53

That's so I'm Ive glad

52:55

to hear that nuts, all nuts. Can

52:57

make you break

52:58

out. Is that true? Well, Walnuts can and almonds.

53:01

And it's so funny because for the longest

53:03

time, it doesn't mean you are now. You know what

53:05

I mean? I just we Ive to say, you

53:07

know, like an acne diet. And it's so funny

53:09

because for the longest time, you know, your grandma would say,

53:11

don't eat chocolate, you can break out, or Ive, don't

53:14

do this. True. This can happen. And for the

53:16

longest Ive, I was, like, oh gosh, it's so not true. And

53:18

then they came out with studies that are, like, okay, maybe. No,

53:20

not a mess. So a

53:21

truth. Well, I'm gonna say also,

53:24

I'm gonna say seeds. I do

53:26

love almond butter and

53:28

I think it's okay for me because I don't

53:31

break out. Because of my almond

53:33

butter, but I do know I cannot have

53:35

peanut butter. And I ate peanut

53:37

butter growing up. I

53:40

was addicted to it with my pregnancies, but

53:42

I did some major tests. And

53:46

I cannot have peanut butter. It is the worst

53:48

thing for me and my skin and my digestive

53:50

issues. So seeds.

53:53

Yes. Okay. Okay. Number three,

53:55

washing your face in the morning or

53:57

washing your face at night?

53:59

Oh, I would say definitely washing your face at

54:02

night because you gotta get all that pollution,

54:04

sunscreen, makeup

54:07

-- Yep. -- all of that off. I'm I'm

54:09

definitely guilty of coming home

54:11

some days and face planting into my bed.

54:14

Yeah. So what I do is we have

54:16

these cleansing pads -- Mhmm.

54:18

-- and I just keep them at my bedside table. Mhmm.

54:21

So if I you know, sometimes you just don't want that cold

54:23

water on your face. Right? And for about better. You've been

54:25

watching TV and you're just dozing off. I'll just grab

54:27

some of that and at least Mhmm. I'm

54:29

not saying it's a substitute because using those

54:31

pads every night can actually dry you out.

54:33

But I think it's a great option to have in your gym

54:35

bag or in the car or at

54:37

the bedside table just in

54:39

case. Well, I completely agree

54:41

with you. I'm piggy washing your face

54:44

at night. I

54:47

have always I do my own makeup for

54:49

the camera and I know I wear a lot

54:51

of makeup. I totally believe

54:53

in that grime that you

54:55

face picks up during the day. And I

54:57

like I said earlier, I have three older sisters and

54:59

they just preached my whole Ive. Never

55:02

go to bed with that. Why should your

55:03

face? And so I can say I have never

55:06

gone to bed with that clean I

55:07

can't. I say the same. I wish I something gets

55:09

ingrained in my brain. It's like I look

55:11

at the clock and I have to schedule my

55:15

ritual of cleansing my face. So,

55:17

yes, I do it every day. Number

55:19

four, laser

55:21

Facials or traditional faceals.

55:24

They got to be a know you're gonna say

55:26

laser faceals. I mean, I think it depends.

55:28

You know, you're not gonna do a laser facial every

55:31

month. But, Trish, certainly, you

55:33

know, one of my institutions used to call it emptying

55:35

out the trash cans, you know, cleaning out those

55:37

pores, getting those extractions once a month

55:39

really makes a difference.

55:41

It really does. I see both. Ive

55:43

say both because I was gonna

55:45

say Facials because

55:47

you can do your own facial at

55:49

home, but really you cannot. I think everyone should

55:51

have a professional facial once in a while?

55:53

Yes. Okay. So let's say both on that

55:55

one. Mhmm. Number Ive,

55:58

cream or night cream. Oh

56:01

my gosh. You know what? I'm gonna say

56:03

eye cream and I'll let you know why. Why?

56:06

Because night creams, you know, are typically moisturizing

56:09

creams. If you are using the right products

56:12

with the right regimen, you should I

56:14

mean, this is gonna, like, blow everyone's mind.

56:16

You shouldn't actually need a moisturizer if

56:19

you're using the right products. So if you're

56:21

using a moisturizing antioxidant or

56:23

moisturizing retinol or a hyaluronic acid

56:25

serum, you you you shouldn't

56:27

actually need moisturizer now just statistically

56:30

because I'm the business person. Moisturizers

56:32

is number one selling skin care product in the country.

56:35

So everyone's saying or but they come to me how

56:37

many times have I heard? I don't know why my skin got

56:39

like this. I use a moisturizer every day. Yeah.

56:41

You know? But you need something active in there

56:43

so, like, skin, our moisturizer,

56:46

has antioxidants in it. You know,

56:48

so you want things that are doing double, triple,

56:50

quadruple duty for you. So if you are

56:52

only using a moisturizer, at least

56:54

make sure it has antioxidants in it. Yeah.

56:57

Or for example, our body cream has a touch of retinol

56:59

with antioxidants in it. To get that creepy

57:01

skin done. So think it depends. But

57:04

really, if you're using the right skincare products,

57:06

guess

57:06

what? You shouldn't need a moisturizer. That

57:09

is I totally agree with you. And,

57:12

like, I actually don't

57:15

use a moisturizer. Ive have

57:18

other products that I believe in, like,

57:20

a dry oil, a face

57:22

oil -- Mhmm. -- that I just

57:25

live by.

57:26

Serums. Mhmm. Because the

57:28

serums are really moisturizing.

57:29

If you're using the right things -- Yes. -- you

57:31

shouldn't need a moisturizer.

57:33

I don't Ive a moisturizer that

57:35

I use. Or maybe sometimes during the wintertime,

57:37

Ive, we go to Tahoe all the Ive, I will take

57:39

a moisturizer with me and, like, layer

57:41

it on, like, frosting. Love that for me. I

57:43

must call it Ive moisturizing mask. Yeah.

57:45

But, yeah, on a day to

57:46

day, you shouldn't need one. But do you know what?

57:48

If I actually forget

57:52

or just don't bother with an eye cream

57:55

within two days maybe

57:57

if, like, if we're traveling, I forget to pack it

57:59

I can tell I haven't had my eye cream on.

58:02

Ive have not used my eye cream in a in a

58:04

while. Mhmm. So eye cream hands down

58:06

eye cream. Okay. Last one.

58:08

Flavored water or sparkling water.

58:11

Oh my gosh. I love sparkling

58:14

water. I I will say

58:16

I cannot have plain water. I'm the most

58:18

dehydrated, like, aesthetic

58:20

expert you will meet. Interesting.

58:23

I actually I love kombucha.

58:26

Flavored kombucha or sparkling water,

58:29

but you won't find me drinking plain

58:30

water. Entrestate.

58:33

Well, sadly, that writes us to the end

58:35

of this episode. But before

58:37

we wrap up, I need to ask you one

58:39

final question. And we talked about

58:42

this even before the podcast started, but this

58:44

podcast is all about sharing secrets,

58:47

life changing secrets, movie that you've

58:49

heard from maybe your grandmother, your

58:51

mother, friends, whatever, but

58:53

a secret that has changed your life and

58:55

I would love for you to share with the listeners.

58:58

Oh my gosh. I'm trying to think all the crazy

59:00

stuff I tell my students. Yeah.

59:03

Okay. I will tell you. The

59:05

secret that I've come to learn almost

59:07

most recently is and I think it's very

59:10

relevant right now in the current climate

59:12

is you can never get canceled if

59:15

you're speaking from a place of love and

59:17

to your core values and

59:20

if you don't give in. So

59:22

you can only get canceled if you submit

59:24

to it. And

59:27

I am very loud. I

59:29

feel like my parents brought me to this country,

59:32

the beautiful land of free speech. And

59:34

I think a lot of people are self silencing

59:36

themselves right now, which is such a shame

59:40

in America. And so

59:42

you'll find me on my Instagram saying

59:44

everything I want when it comes to religion,

59:47

politics, skin

59:49

care, hypocrisy within

59:52

my industry or outside of my industry

59:54

because I think it's such a gift and my parents

59:56

didn't risk everything to bring me here to

59:58

shut up.

59:59

Oh. That is beautiful.

1:00:02

That was very, very profound

1:00:04

and true. And Thank you so

1:00:06

much for sharing that. My pleasure. That

1:00:09

was wonderful. And speaking

1:00:12

of your

1:00:14

social media, your Instagram, and

1:00:16

I know everyone is wanting to go to it and

1:00:18

read everything you have to say. Right.

1:00:20

I have chills just thinking about it. Please

1:00:23

tell the listeners where to find you on social

1:00:26

media.

1:00:26

So my major I have many Instagrams,

1:00:29

one for surgery, one for spa, there's

1:00:31

many, but the main one is at Ive.

1:00:34

Sheila Nazarian. It's DRSH.

1:00:37

So that one's my main one. I

1:00:39

do wanna plug my new podcast. He's

1:00:41

been called The Closet. Our first

1:00:43

guest was Meghan McCain. Our

1:00:45

second guest was Nate Bazulik from Vampire

1:00:48

Diaries. And we

1:00:50

have Yoomi Park coming up soon who

1:00:52

is one of three hundred North Korean defectors

1:00:55

with an amazing story that will make

1:00:57

you feel so grateful to be

1:00:59

in America. Oh. And

1:01:01

so, you know, getting amazing people and

1:01:03

just like you, I'd like to have meaningful conversations

1:01:06

and to talk

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