All Things Skin

Beauty Inside Out

Dr. Missy Clifton, MD, FAAD, FASDS Season 4 Episode 7

What if the secret to aging beautifully lies deeper than your skincare routine? Dr. Missy Clifton, board-certified dermatologist and founder of Premier Aesthetics, joins us to reveal the cutting-edge approaches transforming aesthetic medicine.

From her humble beginnings in a small Arkansas strip mall to building a thriving practice with over 100 employees, Dr. Clifton shares the wisdom gained from nearly two decades at the forefront of dermatology. Her upcoming expansion to the Walmart Global Home Campus marks another milestone in her remarkable journey.

Dr. Clifton takes us deep into the science behind today's most innovative treatments. She explains why Softwave's colorblind technology represents a breakthrough for skin tightening, how platelet-derived growth factor is revolutionizing tear trough treatments, and why her approach to neuromodulators involves using multiple products within a single face. Her insights on nanotechnology preview her upcoming skincare line that creates reservoirs of active ingredients beneath the skin's surface.

Most compelling is Dr. Clifton's holistic philosophy that true beauty begins from within. She shares her personal regimen of peptide therapy, revealing how injectable compounds like BPC-157 and copper peptides have transformed not just her skin but her overall health. This inside-out approach represents what she believes is the future of aesthetic medicine—treating the whole body so your outward appearance reflects internal wellness.

Whether you're considering your first aesthetic treatment or looking to optimize your current regimen, Dr. Clifton's preventative approach offers valuable guidance for anyone seeking natural-looking results that improve with time. Listen now to discover why starting early with small, consistent interventions yields better outcomes than waiting until significant aging has occurred.

Let's Connect!
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* Website: https://premierderm.net
Premier Dermatology is located in Bentonville, Fayetteville, & Bella Vista, Arkansas!






Speaker 1:

Welcome to the Beauty Formula. Today, we are joined with Dr Misty Clifton, who's one of my absolute favorite people on the planet, and she is a board-certified dermatologist at Premier Esthetics. Hey, misty.

Speaker 2:

Hey, sweet girl, I am so glad to be on this with you. I'm so honored that you wanted me to come join you today. I'm excited.

Speaker 1:

I'm sure you're sick of hearing the story, but every time I see you I tell you about how you're my favorite and how I've been stalking you. And it was. We went, we both were at I mean this must have been 15 years ago at a skin care thing and they had all of these big dermatologists and stuff. And then you were little and you walked up there and you told him what you did and you made more money than all of them and I just remember we were all just looking around thinking she's doing it right and I just loved you ever since then. Oh, sweet girl, Thank you.

Speaker 2:

Thank you, I'm good. You know the struggle is real. Coming from Arkansas, I mean, half of the universe doesn't even know where Arkansas is, so I mean they're like, where's that?

Speaker 1:

Who are you?

Speaker 2:

I get it confused with Arizona a little bit. Well, everybody does so it's A-R, not A-Z, you know. So it's a thing. Nobody knows where I am and you know, kind of that's maybe okay because I'm sneaking in under the radar. I know, I know Well how is Arkansas? Arkansas is hot as Hades right now. It is humid, humid, humid, and Arkansas summers are not the best. So I mean, it's not any cooler where you are in Austin though.

Speaker 1:

right yeah, it's not cool, but I heard Arkansas is like starting to boom.

Speaker 2:

Honey. They are saying that Bentonville, Arkansas, is about to be the new Austin. I know. So I'm like cool, because I love Austin. Yeah, I know I'm coming. I'm coming to visit you. We got to make that happen because you and I need to hang out. I miss your face and I miss hanging out with you.

Speaker 1:

I was already thinking you need to come for like ACL weekend, one of the big weekends that would be perfect.

Speaker 2:

Let's make it happen. I'll show you the ropes. That would be so good, baby. That would be so good. The only time I've ever been to Austin actually is for a lacrosse tournament, and that was less than optimal. Let's make, let's, let's do it better than that?

Speaker 1:

Yes, let's do that.

Speaker 2:

Let's do that.

Speaker 1:

Okay, so tell me what's been going on work-wise, all things skin All things skin is going really well.

Speaker 2:

So you know, we're centered in Bentonville, arkansas, which is kind of. Our claim to fame is that our town is the home of Walmart, right, right, so Walmart just built this. They're in the process of building this ridiculous global campus that is acres and acres of you know all of the thing, all things Walmart, and they're bringing people back. You know, during COVID, a lot of Walmart people just started working from home and now they're bringing everybody back to the home campus and they're bringing in really amazing retail. They're bringing in restaurants. They're bringing in you know things that the people that work at Walmart can really benefit from, and guests who they ask to be on the home campus.

Speaker 2:

No really so we are the only medical provider on the Walmart Global Home Campus and I am losing my mind about it. I'm so excited.

Speaker 1:

Like now or starting when.

Speaker 2:

So we are finishing out the space. We think by January we will be opening up and so we'll be doing dermatology services there, we'll be doing all of our lasers aesthetic services, skin care, of course, doing all of our lasers, aesthetic services, skincare of course, and all of that there. So, yeah, we're just we're building and growing.

Speaker 1:

It's incredible. Congratulations, thank you. So are you the only doctor right now at your?

Speaker 2:

clinic. So no, it's me and Dr Cunningham is my main partner. She is amazing. She's much younger than me but she is so, so excited about, you know, all things skin and really she's into skincare, she's into lasers. She's just really jumped in as a partner. She's been four years. It's a three-year buy-in at our clinic and she's just jumped in as a partner. And boy am I glad to have her because she is amazing and we have a lot of laser techs and estheticians and you know everything's going really well.

Speaker 1:

But boy is it nice to have someone else that wants to run the business side of it, because that's the hard part, as you know she's wanting to run the oh, so she yeah, right, she's a partner, she's going to help me out with all of that stuff, honey, it's huge, it's huge, and she is just can't wait for you to meet her.

Speaker 2:

She is the coolest, sweetest, so much fun. She did her training in in New Orleans, so she's our next trip is for her to take me to Mardi Gras, so you might want to join us, you might want to join us?

Speaker 1:

Yeah, I'd be great. I grew up 45 minutes from New Orleans, so I'm very close.

Speaker 2:

Oh my gosh, you guys would have so much in common. We got to get y'all together.

Speaker 1:

We'll talk about that I do. Well, that's awesome. And wait, did you start like a new, like laser line or something too?

Speaker 2:

You know, we have about a year. Well, it's a little bit more than that now I can't even keep up with time anymore, courtney but we built on a whole laser section to premiere. You know, I started doing lasers at the beginning, but now I have like four laser techs. I have, like you know, three estheticians and all these nurse injectors and PAs and all of these people now that are my extenders and we just have this incredible family of people that are so excited about innovation, so excited about staying on the cutting edge of things. And that's, you know, that's where I think we have this kindred spirit. You and I, we just love to be on the cutting edge of all things new and skincare. And, yeah, that's why I was just obsessed with you when I first met you. Besides, your style and your just amazing.

Speaker 1:

Well, you know I'm kind of lack on lasers. What like? What's your favorite laser right now?

Speaker 2:

Oh, my goodness, I would say Softwave. It's not really a laser, it's actually an ultrasound device. So it's an ultrasound heating device that tightens tissue. It's colorblind, so it doesn't matter how dark your skin is. You can be tan or not tan. And you know in Arkansas and Austin, austin everybody in summer, even if they're wearing their sunscreen, they're tan. So a lot of laser treatments you really can't do, and softwave bulk heats the dermis and so it tightens.

Speaker 2:

It's crazy, courtney, I had it done before I bought the device. I'm like do my one, you know, lazy eye, because I have a. We all have a side that's worse than the other and literally my lazy eye matched my good eye after the treatment, like on the table. On the table I already saw the elevation. It was amazing. I actually had that laser done. It's been a little bit well. I want them to do my whole dang body. I want them to start at the top of my head and go all the way down to my knees and just tighten everything else I was like I mean I'm used to like a laser pain.

Speaker 1:

I can handle a laser pain like a burning off pain. This was more of like an old therapy pain.

Speaker 2:

You know, I didn't feel like it was as bad as old therapy, though Old therapy was so dang bad that I just quit offering it because people hated that. It was just like torturing people. I had my neck and chest and I think the chest, like the bony areas, the bony areas are spicy they really are but I mean, nobody on this podcast that knows you is going to look at you and go. Why are you doing anything? Because you're perfect. You look great.

Speaker 1:

Well, I mean, I've been doing it.

Speaker 2:

That's why we look good right, because we've been doing all the things, all the things.

Speaker 1:

It started bothering me and then I was like I mean, I just want it to be like a little bit upper, and they're like we have this new laser and I was like the demo patient, you know, and I was like okay, well, it's spicy, so it counts down.

Speaker 2:

It's like a five second pulse and like one, two, three is okay, four and five. You're like, okay, dang it, move it, but then then it quits. And that's the really cool thing about it it doesn't like you're not peeling, there's no downtime, it's like it's pretty easy. I love, I love softwave. I would say I love laze md. Laze md is it's. It's kind of a superficial resurfacing. Um, I love 3d miracle by ultra clear um. 3d miracle is like about you will peel for about five days but then your skin looks like glass. It's so pretty.

Speaker 2:

I got to come see you. Please come, please come. We're going to plan this. You're going to come and then we're going to film everything you do. And then I'm going to come and we're going to film all the things you know, going through your whole store. You know I've got a skincare line that I'm making and I'm going to launch it in January. So I got to come out there and maybe you'll carry it at Harbin House. Well, you got to come, not until you come out and sell me on it. I will come out and sell you, baby, I'll come out and sell you. So it's going to be really cool. It's just a morning and evening product, and the morning product is going to have antioxidants. It's going to have the peptide CPKC or okay, can you cut this out? It's going to have the peptide GPKCU, which is a peptide that a lot of people are injecting into their body that works for skin and hair, but it's going to have

Speaker 2:

the copper peptide in it and a nanoparticle technology that actually penetrates through the epidermis, so it like makes a reservoir, so it sits there and it's going to have. It's going to have zinc oxide that will continue to protect you, like for 24 hours. It's going to have. It's going to have a lot of antioxidants and anti-inflammatory things as well, so it's kind of going to be magic. It's going to be like a magic potion. So it's kind of going to be magic. It's going to be like a magic potion. So I can't wait for you to hear all about it, so I will come in.

Speaker 1:

It's just like the injection. I went and saw my girl yesterday and she sent me some link today. I filled out for like the peptides. It's like three of them mixed, but one of them was the copper peptide.

Speaker 2:

So there's this magic mix. So the peptides are. I think they're the wave of the future, and I've actually got a company, a peptide company. So that's another thing we got to talk about, girlfriend, oh my God. So the peptide, the BPC-157, which is like body protective compound 157, and TB-500, both super anti-inflammatory. They treat all kinds of and anything that's inflammatory. So a lot of patients with autoimmune disorders, anybody that has joint pain or just feels tired and drained. And then we're putting the copper peptide in together and those three you can mix with one little sub-Q injection and it's like magic, that's exactly what they gave me Because she was telling me about that.

Speaker 1:

And I was like that's exactly what they gave me because she was telling me about that and I was like I need like anti-inflammatory, because I have all this auto immune stuff, and I was like I got you, I got you, you got me here we are I'm so well? When do you sleep like it's funny?

Speaker 2:

you're like the third person today that's asked me that and you know, I think I sleep better because I'm just such, a, such a psycho. I'm just working so hard, so hardcore and just love. I love this industry we're in. I mean, courtney, what other industry makes people feel so good, not only about, you know, their beauty, but if we can make them feel better about their whole body either, whole life man, that's a win it really is. We've both been through a divorce real recently, exactly so I need the anti-pissed off peptide. That's what.

Speaker 2:

I need I need the peptide that's going to make me just like, okay, let it go, it go. Baby, can we add the let it go peptide?

Speaker 1:

that's what we need look, I can give you some of that. I think I have too much of the let it go. I need to like care a little bit more, I think, these days, but I'm good at just letting it go how are you? I'm good, so I'm officially divorced I.

Speaker 2:

It took a good five years how the heck did it take five years, honey?

Speaker 1:

I don't know yeah, well, I you know what I knew the day I filed that it was going to be an uphill battle, like I knew it was going to be, like it wasn't going to be easy, but I didn't know it was going to be this hard oh honey saying you know, thank goodness you can't see the future, you wouldn't get out of bed.

Speaker 1:

But it's like you know, now it's over, now you're free, you're free, I'm not. I mean still have a couple of couple hearings coming up, but you know, I'm divorced, I'm free.

Speaker 2:

And you're young and you're beautiful and your whole life is ahead of you. You're successful.

Speaker 1:

You're a total badass, and so we'll see if we can get the out of you. You're successful.

Speaker 2:

You're a total badass. We'll see if we can get the next. So proud of you, so happy for you, honey.

Speaker 1:

What about you? How long have you been divorced?

Speaker 2:

You have a hot new About two years, about two years, and it has been. It's been good. I tell you. I finally turned the corner with my ex. He's got, you know, he's got his own new little fiance and she's just cute. She's so damn cute, she's real sweet and they love each other and it's great. And I have this amazing man that adores me and thinks that I'm the best thing that ever happened on the planet.

Speaker 2:

And it's a real different feeling. It's a real different feeling. Well, good, I feel good. You got to meet him. His name's Daryl Robinson and he's beautiful and smart and kind I can't wait to meet him.

Speaker 1:

Yeah, my ex is engaged too. He's been engaged for like a year and a half and it's before the divorce was even filed.

Speaker 2:

That's kind of how that goes. I think men can be real thing. They just don't know what to do by themselves.

Speaker 1:

No, totally, and I'm kind of the opposite now. I'm just like I got to be a real special person or else I just don't want anybody else to deal with.

Speaker 2:

Yeah, and I'll have to tell you the story about how Daryl and I met because I was like not even looking, I had given up on dating. I'd given both social media apps, all the things, all the dating apps, I apps. I was like no, I'm done actually came to Dallas and I didn't realize that you know any of the apps, like followed you around. I'm such an idiot, I didn't know anything about any of this stuff. And actually he I started getting these, like you know, chimes and I'm like, oh my gosh, bumble is like yelling at me. Why is is Bumble yelling at me tonight and I'm in Dallas and this beautiful, amazing, accomplished, smart, kind, like like pretty much everything I prayed for my whole life, showed up on my screen. I'm like what the heck is happening?

Speaker 2:

And there he was and we met and he moved here six months later and I was going to say we're kicking it and having a great time. So that's awesome. What does he do? So he, actually, now he will. So he, he's a former actor, he's really. He was in a couple of the black Panther movies and he was in Atlanta and just as a nod you know he was. He was like babe, don't get excited.

Speaker 1:

I wasn't like a headliner.

Speaker 2:

I was just like some of those extra guys, whatever. But you look at him, you go he could be yeah, and you know. So he. He moved here and now he's working for a company called Acosta, which is kind of the they help all of the things that Sam's Club and Walmart does and he's got a great job and great benefits and they're going to send him back to get his master's in business and I mean, we're just, it's just like things are just clicking. It's weird, that's great all falling it's all falling in together.

Speaker 1:

So it's good they say your second marriage is the true love of your life anyway.

Speaker 2:

So we'll see baby, we ain't married yet so don't be going there yet. No, I know that's where we going.

Speaker 1:

There, we'll see, we said would you ever get married again? I said it's too early to say I would say a year ago.

Speaker 2:

If you'd ask me, I would say abso-freaking-lutely, not um. Now that I found him, I think, um, I might consider it. There would have to be a massive prenup, because I am never, ever going through the struggle of splitting the finances and all of that again.

Speaker 1:

I'm just never going to do that again, let me. I think he makes it a lot harder, but still yes.

Speaker 2:

I would be committed. I'm already committed to him. I think he's amazing and so I don't know that we really need to do that. Yeah, no, yeah. If he felt like that was something that needed to be done, I would consider it, but there would have to be a lot of legality.

Speaker 1:

Well, I mean, and if there is, then it's like fine, that's why we say I would never get another divorce. I mean, so they have to go into it? No, and there's only one way out and it's not worse. No, no, I mean, how old are your?

Speaker 2:

kids now. So my oldest is 24, about to be 25. Okay, she graduated from Auburn, alabama, with her master's in biochemistry Wow. And she has started a company called Key Studios and Wellness and she is doing nutrition counseling and hot yoga and she's freaking killing it. Courtney, I am so proud of this kid. She launched it, you know, when all of the kids were gone from college. And we're about to go down there and have her first open house when everybody gets back, but she already has like seven full classes a day. She's crushing it.

Speaker 1:

She gets it from her mama Wow.

Speaker 2:

Maybe a little, but.

Speaker 2:

I will tell you. She has worked so hard and she had this vision all by herself. She knew what she wanted to do and she just needed somebody to be there to support. And so it's been so fun to see my precious baby girl just go out there and kill, and she's been awesome, she's really good. And then I have Sam and Sophie, the twins, and they're seniors. They're about to be seniors in high school, Okay, and so this whole weekend we're going to be filling out college applications, doing the common app, all of the things, and I'm having to beat them up to make them do it, because they are just like you know, they've already checked out. Their senior year has not even happened and they're just like already checked out. I'm like babes. Their senior year has not even happened and they're just like already checked out. I'm like babes, we got to focus just for a second or two, get these college apps done and then you can enjoy your senior year and we'll go, that's crazy.

Speaker 1:

You already have to start applying that soon, I guess.

Speaker 2:

Yeah, I mean the early application deadline is like November and scholarship deadlines like October. I mean like no, like December. So November and December, so we'll see.

Speaker 1:

I can barely get mine registered for the elementary school.

Speaker 2:

Well, baby, you know what. You're just in a different stage. I remember that and I'm going to tell you I think small children are much harder than older children, because you just need to. They need you more. Yeah, you know my twins, they don't really need me and they, they, and they. They're, honestly they're very annoyed by me. They think I'm kind of a pain in the ass. I'm not going to lie, but I'm like listen, I need you guys to go to college. I need you guys to like, do the applications. I need you guys to kind of, you know, create your life, go forward, go.

Speaker 1:

And so I'm encouraging them to get, get shit done yeah, you got to get them out there, but yeah, no, I mean I think every year for me, because mine were. I mean mine were like two and three, so we were so little. I think every year it's just gotten so much easier, like now. They're like almost like people. Well, you know, they're like my youngest just turned eight and my oldest is, yeah, eight and then about to be 10. My oldest will be 10.

Speaker 2:

Yeah, courtney, you're in the beauty years. You're in the years where they still love mommy, they still think you're smart and they still think you're they in. Sop it up, enjoy every bit of it, because I'm going to tell you when they turn about 13 and 15 yeah, it's hideous.

Speaker 1:

I know, I, I mean my youngest. He follows me around like my shadow, I mean just everywhere I go.

Speaker 2:

We were just on a boat. It probably drives you crazy, but you gotta love it, but I need to remember it.

Speaker 1:

Like I'm like, okay, can I just get a little space, can I get a little space, just need a little space. And he's like, okay, and it sits right next to me.

Speaker 2:

I'm like, okay, okay y'all were on a boat. What were you guys doing? Where were you we?

Speaker 1:

were fishing. So my kids are big fishers so, and so we've been fishing. I'm in the process of listing my house. It's finally done, that's the whole story. But I um so I've been trying to get them out of the house. So we went just to lake buchanan and we went striper bass fishing and caught some big old basses and it was fun. I know, yeah, we've been to. I went, saw my friend meg. He met in st louis. She's so cute, she's so cute.

Speaker 1:

We went to innsbruck with her three kids and mine, which was that's a lot of kids, a lot of kids. It was too many kids and too little adults, that's for sure. I mean I was like, where do you go home? I'm exhausted. You had a babysitter there but we needed like five babysitters there. We went fishing there. We went fishing in Colorado. We've done three fishing trips around Texas. So I mean I am, for the first time, ready for school to start. Usually I'm not, because the you know the school grind and waking up, I mean I guess it's got to be at school at 7 am. Such a grind.

Speaker 2:

I'm telling you, sometimes the structure is worth the grind. I know, I know.

Speaker 1:

Now I'm ready for it. This is the first year I'm like, okay, I'm ready for the summer to be over.

Speaker 2:

Like I just, I mean, I just have nothing else to do with them. You've done all the things. You've done all the things.

Speaker 1:

Yeah, they're ready too. They're like Mama, how many more weeks until we start school? Like they're ready too. I mean, I think I am driving them crazy. I doubt that You're amazing. So have they met your boyfriend? Obviously, no-transcript.

Speaker 2:

so yeah, everything's great there. And I've turned a corner with the ex-husband. We're all friends. It's like, wow, things are good Things are real good.

Speaker 1:

Maybe I can get there one day. We'll see. I pray for that, but I'm get there one day, we'll see.

Speaker 2:

I pray for that. But I'm telling you, sometimes you just can't.

Speaker 1:

And that's okay. Well, and that's why I think we're just going to be the just can't, and you know that's okay too. It's just in this business, yeah, so tell me about Harbin House Tell me how it's going.

Speaker 1:

I mean, I still we're still just shipping everything, selling, doing sales, the skincare. So we just started the podcast back, obviously, and so I, when I was in the middle of like trial and all that for like a year and a half, I stopped it because I just couldn't commit to both and so we started it back, started recording in like March and just started releasing episodes I guess about a month and a half ago, episodes I guess about a month and a half ago, and it's fun, like it's making it fun again and, like you know, bringing me back to get into it all all over again and stuff, and so it's been going really good and I have I mean I have the best team on the entire planet which helps, and so I mean everything's going really good, not going to let. So I mean always looking for you know the next thing, that's for sure.

Speaker 2:

But you're an innovator, sweetie. I mean you were. You're so far ahead of your game. I mean I just love what you're doing there and I just I'm really excited for you. I think this next chapter of your life is going to be incredible.

Speaker 1:

I think so too. I'm excited to hear about your skincare thing. So what made?

Speaker 2:

you start a skincare. So I have you ever heard of Steve Yellen? He's a he's a big dermatologist. He's a little bit older than me, he's kind of an innovative guy. He does a lot of you know, clinical trials and things. And he reached out to me about a year and a half ago and he's like Missy, I've got this company called Pro Transit and they are. They are just really cool. It's a nano transit. It's a nanotransit, it's a nanoparticle company and they are able to encapsulate a lot of things that won't naturally penetrate into the skin into a nanoparticle and then they will penetrate into the skin, yeah, and they can determine how deep it will penetrate.

Speaker 2:

So the product I have coming out is that well, the morning product is going to have zinc oxide that penetrates just down past the epidermis and almost creates a reservoir. So it's almost like skin protection that's going to continue to build and you know it's going to get better and better over the days that you use it and then your body will gradually break it down. So it's almost like a sustained release sunscreen, which there's never been anything like that. And yes, but say, is there anything like that? No, not that I'm aware of, and we're also going to combine it with a peptide.

Speaker 2:

The copper peptide is going to be in there. There's going to be antioxidants, there's going to be a lot of really amazing kind of compounds mixed with it I don't want to give it all away yet and then we're going to have a night serum that's going to have basically all of the same things plus a DNA repair enzyme. So without the zinc, of course, we don't need sunscreen at night, unless you're sleeping on the beach and somewhere sunny I don't know in Alaska or Antarctica, but whatever. So we're going to have no sunscreen in the night product and we're going to have a DNA repair enzyme that will help to, you know, repair all of the damage of the day. So I'm super excited about it.

Speaker 1:

That is exciting. I'm going to launch in.

Speaker 2:

January, and we'll come, and we'll come, and I I want you to be, I want you to be the first, the first. You know, third party, that really launches it.

Speaker 1:

I know I'm so. Have you tried it yet? Like, do you have like the actual form?

Speaker 2:

I've tried it. Yes, I've been using it and I have. I love it because it is um. Have you ever used super goop sunscreen? Uh-huh, so it's kind of like a super goop base. It goes in really nicely. It's very aesthetically pleasing. It leaves no residue so you could put makeup on right on top of it. Yeah, it's um, I think it. I think it's gonna be a hit.

Speaker 1:

I think it's gonna be a hit really. It's gonna have like an spf, like an actual spf, and spf 40 wow, do you have to go to the FDA for that and everything.

Speaker 2:

So the SPF is already just a base based on the zinc itself, so we don't have to do FDA clearance on it, which is nice, oh that's good, that's really good, that's real good.

Speaker 1:

I always wonder, like, even like small companies that come out with the sunscreen, I'm like, are they having to go to the FDA with these Yep? Like small companies?

Speaker 2:

that come out with the sunscreen. I'm like are they having to go to the FDA with these Yep? So we're piggybacking on on what's already been done and we just are are taking it to the next level. Thank you. Jesus, we don't need to reinvent the wheel.

Speaker 1:

Okay, well, so my team has made a bunch of questions for you. Let's hit it. This is a great one. So what made you want to open your?

Speaker 2:

own practice, oh okay, so I never wanted to do that. I thought that in med school. I thought I want to, you know, work three days a week. I want to work for someone that's already going to run the business and all that. And I was such an idiot I had no idea that I really don't do well taking direction from others. Courtney, I don't.

Speaker 2:

And so my first, my first soiree into you know, a practice was with a man named James Wharton, who's a great dermatologist, super smart guy. He was here in Bentonville and was doing just medical dermatology and at the time I came to Bentonville there was no one doing aesthetic work at all. So this is 2003. That tells you how old I am. I hate to tell you my age. That tells you how old I am. I hate to tell you my age, but that tells you how old I am. So 2003,. There's nobody in Bentonville, arkansas, really doing any aesthetic work, except the plastic surgeons who maybe are dabbling in Botox. But pretty much that was it, and I had extremely good training in my residency, which is unusual in dermatology. Suzanne Yee, who is a very amazing plastic surgeon down in Little Rock, arkansas, donated her time to come and train residents at the college and Sandy Johnson, who was my chief resident and is a dear friend of mine, who lives in Fort Smith, arkansas, was at that time stayed on faculty because she was really wanting to train all of us in aesthetics. So I actually got a lot. I got late and Jake and Cannon and Milton Wehner was still at UAMS. He was a big laser guy. So I was at the perfect time at UAMS to really get laser training, aesthetic training, from some of really the people that were just starting to do it, and I really felt super confident. I knew what I was doing. I felt like I, you know, could really go out and do that.

Speaker 2:

And James did not want to do aesthetics. He was like that's, like that's not real medicine, I don't want to do it. I'm like, well, I don't think that's going to work for me. So after you know, about halfway through the year, we realized that we were not a good fit and so he basically said I'm not renewing your contract. I'm like, ok, good so.

Speaker 2:

But then I was like, oh crap, I've got to go out and figure out how to do this, because I never really thought about I never had a business class in my life. I didn't have a clue what I was doing. So I said you know what we're going to go do this, I'm going to figure it out. And you know, jeff, my husband at the time was like hey, we'll find you a space. He's always been into real estate and developing and a lot of other things. So he found us a space in a tiny little strip mall on 28th Street in Bentonville and it was kind of tragic.

Speaker 2:

But people came and people followed me and I started doing aesthetics along with dermatology, and the next year we took over a bigger piece of the strip mall and then the next year we took over a bigger piece of the strip mall and then we outgrew that space and then I built a building and that's kind of how it all started and just figured it out as I went along with a lot of stress and a lot of sleepless nights and a lot of you know business for idiots. You know that I studied. You know I just figured it out same.

Speaker 1:

Yeah, I mean absolutely, and I mean I learned. I always learned everything the hard way. It's the only way I can learn it is, is doing it wrong first and then being oh, yes, I've made so many mistakes.

Speaker 2:

I bought devices that were thousands, hundreds of thousands of dollars that didn't really work they're mosh. I mean, it worked. You know, ulthera it worked, but it was so damn painful Nobody would ever do it again. Ulthera, it worked, but it was so damn painful, nobody would ever do it again. Right? So I've made a lot of really not great mistakes, but you know what you live and you learn and you get smarter and you get better, and I think the thing that's been so, so constant is that I've had a lot of people, for some unknown reason, that like me and want to stay with me, and I just have had really good staff all the way along that have stayed with me. I still have three or four staff members that were my original people, you know, in 2003, that are still with me.

Speaker 1:

That's a lot about you too, maybe, yeah, yeah, absolutely, especially in this industry.

Speaker 2:

It's like everybody's like looking, thinks there's like a great thing of all grown up together and it's been really, it's been really fun practices.

Speaker 1:

I I think the staffing of it was just the absolute, I mean, and I'm just, I'm just not good at it.

Speaker 2:

I'm just really honestly not good at it.

Speaker 1:

I'm not good at hiring people. I'm not good at firing people. I'm not.

Speaker 2:

I hate hiring people. That's the worst yeah, that's the worst someone go last week and it was not fun well, you know, honey, you've done it right though, because look at where you are You're killing it.

Speaker 1:

I think I got so worn out with the medical practices, the hiring, the firing. Now I almost got PTSD and it's like it's going to be OK. You know what I mean. You know, sometimes they just don't go go easy and now it's just a whole thing thing, especially when you start getting into, you know, higher up yeah, it is really difficult and you know you get to be, you get to be attached to these people.

Speaker 2:

Oh no, and they're not great at their job, and you're like oh, I know, I'm sorry, I don't want to let you go, but you know, I've tried you on every seat on the bus and you just don't get on the bus anymore. That's exactly.

Speaker 1:

Yeah, and it's like every opportunity, yeah, yeah. So how many employees do you have?

Speaker 2:

Oh my goodness, Over 100. If you look at the different practices right now. So yeah, we've got an office in Fayetteville and Bella Vista and Bentonville and we're going to expanding into the Walmart space. So we got a lot going on. It's a little bit crazy, but it's good. So now there are several doctors, but Caroline and I are the only partners on the aesthetic side. The other group is mostly medical and they're not really involved in the in the future growth. They're just kind of sitting doing their their own thing. Um, so it's fine, it's a it's kind of a good, it's kind of a good split. You know, they have their, their vision of what the medical side looks like for them, and then we have the, the vision of what the aesthetic side looks like, and we're just kind of doing our own thing, hanging out together all of them do what now do you travel to all?

Speaker 2:

of them Do what now? Do you travel to all of them? I don't go to Bella Vista right now because Bella Vista is much more of a retirement community and there's not a lot of aesthetic work there at this point. I mean, I think there could be if we really pushed it and tried to develop it. Bentonville has blown up and grown. You know what it's like mean to be in Austin I mean the to just to try to keep up with the growth is crazy, right. So I'm just trying to focus on where most of the growth is and and not spread myself too incredibly thin, yeah, absolutely yeah, I mean it doesn't seem like there's neat yeah.

Speaker 2:

I mean I would love to clone myself. So if you have any technology there in all of your, all of your knowledge, passing that cloning technology, that'd be great you can have one of those ai holograms and like this is what you can do, but I was like injector.

Speaker 1:

yesterday and she was telling me I think mertz or somebody she said had like a thing and they showed that you can make like an ai version of yourself that stands in the room and gives post and pre and post like procedure instructions seriously, and they do like a like, do like 360 scan around you and then they like have you in the room, like what looks like you in the room, and I was like she was like Abby, let's get freaky. And she's like I mean obviously that sounds great, like Abby, let's get freaky, and she's like I mean obviously that sounds great, like not to have to say it over and over again, but like I don't think anybody's going to like that, but it seems like, and you know, so I have.

Speaker 2:

I've had some AI renderings of me and I mean I'm pretty in AI, I'm prettier in AI than I am in real life, but I'm like I don't feel real yet. It doesn't feel quite there yet, so yeah, yeah, we hopefully have a few years before we're completely replaced by automated intelligence. You know, I hope so. We'll see.

Speaker 1:

And I think we're still going to need. We'll hope for that. We'll hope for that. We should hope for that. All right, and you see what else I got here? Okay, what is something you wish you knew before getting? Oh, you wish people knew before getting their first treatment. That's a good one.

Speaker 2:

So I think, I think that a lot of people come in with a preconceived notion that it's going to be really painful or that, you know, maybe they're going to look unnatural. And I think a lot of people also come in with a thought that they hate this spot. A lot of people come in and say I hate these, I hate these lines around my, you know, but they don't really understand that maybe the reason they have a nasolabial fold or a marionette line is not just because they've lost volume there, which they have, but also because they've lost volume in the cheek. Or, you know, maybe they hate their jowls, but they don't realize that they've lost volume in their jawline and their chin. And so I think what I wish I would like for people to know is that the area that bugs you may not be the place you need to be injected, right, because you might. Actually, you won't necessarily look good.

Speaker 2:

And I think you know years and years ago, you know all of the on-label injections for filler are nasolabial fold and marionette lines. But if you fill a person's marionette lines and nasolabial folds and you don't address the cheek and the jawline, people just look weird, they don't look natural, right. So I think, to realize that anatomy and what happens with you over time and aging is you lose bone, you lose muscle, your fat tissue, you know shifts. So you've got to think at it in more of a 3D perspective and you don't want to just look at yourself from the front. You want to look at yourself in more of a 3D perspective and you don't want to just look at yourself from the front. You want to look at yourself from the side and from the top and all these different angles, because what's really happening is under the skin and if you can really recreate the structure, then you don't necessarily have to chase a line.

Speaker 1:

Well and just listen to your dermatologist. Absolutely necessarily have to chase a line. Well, and just listen to your dermatologist. Absolutely. If I went in and somebody was like you don't need to hear, you need to hear it be like let's go.

Speaker 2:

Like, yeah, exactly, Don't fight it. Don't fight it. No, absolutely not. And I will say, I think the one thing that I would like to say to you, know the whole audience, is start as early as you can because, if you can.

Speaker 2:

Just like you know, I think all of medicine needs to shift to preventative. Rather than waiting, you know, rather than waiting till you have a heart attack, let's try to. You know, maybe look at your, you know, look at the issues that are causing those issues first. So same with facial aesthetics. Don't wait until you're in your 50s to start doing preventative things. If you can start gradually re-adding volume, if you can stop muscle movement that's causing those lines to form early on, then you're not going to need to do as much down the road.

Speaker 2:

I mean, I'm 52 and people are like, have you had a facelift? I'm like, no, I haven't had a facelift. But I started doing neuromodulators, like Botox, when I was 27. And I've been gradually doing fillers and I've been gradually doing non-invasive laser treatments every year, just a little bit here and there, just to rebuild collagen, just to give myself a little oomph. And you know I don't look half bad for 52. I mean, I'm not the hottest thing on the planet, but I look pretty okay for 52. You look amazing. Well, you're precious and I wasn't fishing. So thank you for saying that. But I would say that I think that that all of medicine, all of aesthetics needs to think about preventative more than even you know what. Just don't wait till you tell you the point that you need to do a full face erbium resurfacing and a facelift. Start early and start with skin care. Skin care is the key.

Speaker 1:

Homework is the key yeah, like you said, do a little. I mean I I was just telling someone when the last podcast, I started doing botox, when I first got into the industry, when I first I mean it was I was 22 and it was same, it was like 2007. There was, you know, it's like they gave you the grid where you told everybody whether you're 22 or 52, got the same number of units, or whatever. There was no artistry.

Speaker 2:

At that point it was all cookie cutter, Do this do that.

Speaker 1:

Yeah, yeah, yeah. And so I think I got too many units, you know, too young in some areas Because now. So I just went and got Botox yesterday, so settle down a little bit. But if you look, I get like these, like devil worn things.

Speaker 2:

Yeah.

Speaker 1:

Like they've settled down, but it's like I just overcompensating. But it's still better than wrinkles, absolutely, but it's still better than wrinkles, absolutely.

Speaker 2:

You know, I think in the beautiful thing is now that we have products and not just slam Botox. It's the gold standard. It's been the thing that brought us all to the party, okay, it's the thing that made us all realize that we could do preventative things. But there are now much more precise toxins, like Juvo. I love Juvo because it's like a bullet. It only it doesn't diffuse, it goes right where I put it, so I can put it here and it doesn't make my brow look weird. You know, for a long time we were like okay, the spot brow is what we just have to deal with, because that's all we got. But now we don't have to do that, now we can soften that, that line, without the weird kind of 45 unit.

Speaker 2:

Know, you just get a little yeah, yeah, I mean, like I don't like to do more than 15 units in a glabella, a lot of time for women, because we don't want it to look unnatural. And you still want to move, you know, and sometimes you need to frown at your children. Yeah, exactly, you need to give them the mommy look. You just don't want to get any scars, you just don't want the permanent lines. Yes, right, exactly. Where do you think?

Speaker 1:

people should not get Botox anymore, or is there an area?

Speaker 2:

I think you need to be really, really careful in the lower face, in the chin, I think, especially with toxins like Dysport. I love Dysport for people that have like a big forehead because it diffuses really well, but you need to be really careful with toxins that diffuse, especially in the lower face, because you know the DAOs, the chin, the you know everybody wants that you do the nefertiti lift along the jawline. You don't really want that to diffuse. You want it to be really precise. So I think it's not about where you don't want to put it there, it's just that you want to use the right product in the right place and make sure that you're not using a product that diffuses too much when you need it to really stay. Because if I put something in a DAO, a depressor angularis oris, and it diffuses over to the depressor lingua inferioris, then people are all they're going to look weird, and so you just need to know the anatomy and you need to know the properties of the neuromodulator that you're using so that you make sure it's being done well. And I think the key is just to make sure that you and you know people talk about certified injectors.

Speaker 2:

There's no certification for injectors. You just need a really experienced injector. You need someone that's been doing it for more than a year. Do not go. Don't go to somebody that's been doing it for a few months, because you're going to be their guinea pig and you don't need to be that. Let their family be that, let their friends be that. You don't need to be that. And you know I just correct so many things because I'm the old lady in my market now. You know I'm the one that cleans up everybody's messes and it's fine. I love fixing things, but it'd be better if we could just make people look great and not have to go back and fix it.

Speaker 1:

I had, and I obviously won't say who it is, but it was actually a very experienced injector and it wasn't too bad. But I got Botox and I got it here for like the orange peel chain. You know, I didn't have it last time, but she I went out of town for like my birthday or something. I was taking these pictures and then afterwards she calls me and she said I'm calling you in. I think she called me in that like upneek or whatever, like the eye drops, and she goes you're going to put some on a Q-tip and you're going to do this. And I was like, wait, why she goes? I think I might've hit your DA out. And I was like was that why I'm smiling?

Speaker 2:

My smile looks like white trashy. I was like I was wondering. I and try to make it right, that's good, I don't know what it was.

Speaker 1:

Yeah, she was like I think so I think that's what it was. I'm sorry she's like it'll go away fast and I was like that's fine, Like well, you're so sweet. I'm just glad to know that it wasn't permanent.

Speaker 2:

That was the way I'm smiling these days and that scared me off from like the lower face stuff, the lower face is you really don't need to let anybody that hasn't been injecting for, I mean, a long time, because you really need to know the facial anatomy and the funny thing is everybody's facial anatomy is a little different. You need to know how to assess the person's facial anatomy so you know you're getting in the right muscle. So you just really need a really good injector. That's the key for that.

Speaker 1:

Well, before I move into one of the next questions, real quick. What do you think about that new Korean?

Speaker 2:

Botox or tox or whatever you know. I will say that almost all of the toxins you know come from Asia or somewhere else. So I mean, I think it's the NBT. I think it has a lot of buzz, but you know, I will say that all of them just need to be tried and true. And I think it has a lot of buzz, but you know, I will say that all of them just need to be tried and true. And I think in the US, you know it needs to be in our hands for a little while before we can all say anything about it. And I think that you know their mantra is we're cheaper.

Speaker 2:

We've been in Korea and you know the Koreans are amazing. They are the most aesthetically in tune humans on the planet. They are doing all the things. I mean they all the weird, kind of interesting, kind of some of it's really good science, some of it's kind of hocus pocus is coming out of Korea, and so I'm just gonna I'm gonna put a pause on that and say that I think that neuromodulators are amazing, and there is. Everybody has their shtick, everybody has their little unique twist, and I think we still have to figure it out, I think we still have to play with it a little bit to determine where it fits in the market.

Speaker 1:

And well, I got yesterday, so I'll let you know my thoughts.

Speaker 2:

Oh, good, OK good, let's see what you think.

Speaker 1:

Let's see you yesterday, so I'll let you know my thoughts.

Speaker 2:

Oh good, okay good, let's see what you think. Let's see. You're talking about Latibo, right? Yes, yeah, so I will say that it is a they. What they're doing is they're saying we are, you know, we're the Korean toxin and we are going to be. We're coming to market cheaper than everybody else.

Speaker 2:

So what's interesting about that is that is it cheaper because it's better? Is it cheaper because they're just trying to undercut everybody else in the market? Because that's all they have. You know, they don't have a filler, they don't have skincare, they don't have anything else in their portfolio. So I think they're coming in trying to undercut everybody else in the market financially so that a lot of the newer injectors will jump onto it, because they're trying to buildcut everybody else in the market financially, so that a lot of the newer injectors will jump onto it, because they're trying to build a practice. They're trying to financially get the cheapest talks, and so it will definitely play out. I am not bringing it on initially. I'm not Right, because I just know the science behind the products that I have and I know how they perform. I do have it in my hands and I am and I am going to inject some staff and we're going to follow them over a year, but I'm not going to bring it on for a year.

Speaker 1:

There's many of them now.

Speaker 2:

I don't think there's a need.

Speaker 2:

I don't need to at this point in my career. I don't need to experiment because I think I have the science down and, you know, in a single face sometimes I will use three different neuromodulators. Oh wow, I will. So if someone has a really big forehead, like I do, I might use Dysport in their forehead. You know, I might use Daxify in an area like the glabella which really needs that really hardcore boom and where it's going to wear off faster and Daxify lasts maybe a little longer in some cases. And then I might use Juvo only in the lower face because Juvo is so incredibly precise. So I think it's an art, not a science, so much anymore. And I don't know where Lativo fits yet, but I'm going to play with it. I'll let you know. Maybe in a year I'll tell you where Lativo fits.

Speaker 1:

Okay, good, I know. Well, I mean I'm sure everybody wants you to bring on everything because you have such a big block desk, but it's kind of like you got to pick here you do and I and that's what I tell my clients I'm like I'm not going to put it in your face.

Speaker 2:

If I don't know what it does, we'll stop guinea pigs, and we'll try it.

Speaker 2:

My friends, my family, my staff that wants free treatment is great. I will do that for them and we'll figure it out. But I'm going to do the tried and true on the patients that are coming in to pay for what they're doing, because I want it to be perfect. I mean, I was a guinea pig. Well, you and I can be guinea pigs because you know we don't care If I walk around looking a little wonky, people are going to oh well, that's Dr.

Speaker 1:

Clifton again. Do you want it? And I'm like, yeah, sure, let's try it yeah.

Speaker 2:

I try every laser device, all the things.

Speaker 1:

I mean my staff, my patients are used to me walking around, looking peely and red and all the things, because I'm trying everything before I pass it on to patients. What do you think about the? I'm going to say it wrong. You know the new like PG.

Speaker 2:

PDGF platelet-derived growth factor Ariescence oh, okay, is that what you're talking about?

Speaker 1:

Yeah, ariescence, is that your?

Speaker 2:

stuff. So I love Ariescence Okay. So it is an incredible product. I don't think we even have a clue of what it can do. It is only FDA approved for topical application after microneedling.

Speaker 2:

But platelet derived growth factor is the most powerful growth factor on the planet. So when you hear of people getting PRP, you know where they draw your blood and they spin it down. What they're trying to get is platelet-derived growth factor, okay. And when you're 18, you have a ton of platelet-derived growth factor in your blood. When you're 35, not so much. When you're 51, none or very little, okay. So you can do PRP till the end of time on a 60 or 70 year old person and they're not going to get results because they don't have the growth factor. So what? This really smart man named Sam Lynch, who's actually happens to be a friend of mine? He's a brilliant scientist. He was able to find the genetic sequence for this, really find the genetic sequence for this really powerful growth factor in the human genome, splice it out and then put it into yeast cell DNA and then grow billions of copies of it by just making a ton growing yeast cells. And then you stripped off all of the yeast proteins and now we have just this very pure human platelet-derived growth factor and it is a conserved protein that you know.

Speaker 2:

There's no adverse reaction to it. You can inject it in the body. The body doesn't see it as a foreign substance because it is a normal peptide that your body's used to dealing with and so it is all I use now interior troughs. I don't do filler injections anymore, it is all I use for hair regrowth. I don't do PRP for hair regrowth anymore. I do platelet-derived growth factor with area essence and I do a different cocktail. We mix it a little differently than we do if we're just applying it like after microneedling or after a big erbium resurfacing. I apply it topically. But if we're doing it, you know, for injection, we're doing it basically like we would a sculpture or a radius, because if you inject it into the skin it's going to stimulate your fibroblasts to start making your own collagen and elastic tissue.

Speaker 2:

I actually have it in my tear troughs, right now, and it is without a doubt so amazing because a lot of times when you do filler in the tear troughs, you know a few months down the road hyaluronic acids. What are they made to do? They're made to pull water. So if you inject that in a tear trough, you're going to get this big puff ball of like swelling and fluid and you look horrible.

Speaker 1:

Yeah.

Speaker 2:

And PDGF won't do that because it will only stimulate your own body's collagen and elastic tissue. So it's, I think it is. I think the stimulatory market, I think the peptide market, I think those things are the wave of the future and I think, the more, the more natural that we can be and and and you know, preventative that we can be Start early, just like we're trying to. You know, don't wait till somebody has a heart attack to address their cardiovascular issues. You know, don't wait till somebody develops diabetes to make them, help them lose weight and get metabolically fit. I think it's the same way with skincare. I think, if we can use these natural peptides, if they will go through topically, maybe with nanotechnology which is what my product is going to do, you know, maybe with injectable you know injectable products that are endogenous to your body already. You don't have to worry about nodule formation, you don't have to worry about inflammatory reactions. You just get that natural result. So I think all of medicine is going to go that way. I really do, yeah.

Speaker 1:

I think that's awesome. Yeah, I mean I was. I've heard people talk about it before and I've seen it before, but yesterday they were like, do you want to try this? Whatever, I was like let me do a little research first.

Speaker 2:

Well, I will tell you how about you come see me and let's talk about it, because I want you here and then I want to get there because, first of all, we need to hang out. I miss you.

Speaker 1:

I know, I promise, I promise you, I will come and see you.

Speaker 2:

I will come and see you too, because I'm telling you I need to get to Austin and my boyfriend's never been to Austin, so I want to get down there. We'll have a great time together. I know you have to.

Speaker 1:

And so every single trip I've gone out of town every other week this entire summer and every single one of them has been with the kids, because on the off weeks have been doing this house stuff.

Speaker 2:

So anyways, Because you're a good mommy, baby.

Speaker 1:

You're a good mommy.

Speaker 2:

I am over it. We need a break from being good mommies.

Speaker 1:

We need a vacation with just adults and see adults only I got you.

Speaker 2:

I will put you up in the nicest hotel. I'll get you facials at my place. We will go and have massages. We will go out on the town.

Speaker 1:

We will have so much fun, girlfriend, Come, come come, come, I'm coming, I'm going to send you some dates. I'm excited, me too, sis. Well, okay, so we usually will end all the podcasts with one question and you can use it like, literally, figuratively, whatever you want to do. Whatever you want to do, so, like, what do you think is, what is your beauty formula?

Speaker 2:

So I, at this point in my life, my beauty formula is starting from the inside out. I have always done really good skincare. I've always done a sunscreen with zinc or titanium every day. I've always done a retinol at night. I've always done antioxidants for my skincare and some exfoliators. So I've always taken good care of my skin.

Speaker 2:

But I really, truly believe that the next step to really having great skin is to work on your overall health, and so I'm working on keeping my metabolism healthy. I'm doing peptide therapy myself. I'm taking a combination of BPC-157, tb-500, and GHKCU I always mess that up GHKCU, which is the copper peptide, and those three combined together in one injection. I do as a sub-Q injection every night, and it has literally changed my universe. I was starting to develop early onset osteoarthritis. My mom is debilitated Her hands are, I mean, she looks like she has rheumatoid arthritis, but it's osteo and I was starting to have trouble with injections. The peptides have changed my life. I really believe that the future is to look inward so that your outward glow really shows. So I think I think the goal is to treat your whole body, not just treat your skin, because if you're not healthy inside, you won't be looking great outside.

Speaker 1:

I know I need to get healthier, that's for sure.

Speaker 2:

Well, come on girl, we'll start.

Speaker 1:

I'm going to do that, I daily shot too, and then I look like you. Whatever you beautiful thing, you're prettier than I'll going to do my daily shot too, and then I'm going to look like you.

Speaker 2:

Whatever, you beautiful thing, you're prettier than I'll ever be in my whole life. I'm so glad to see you. I really am.

Speaker 1:

We're going to make it happen and thank you for coming on, honey, I'm so honored.

Speaker 2:

Thank you for asking me. Love you to pieces. Bye, baby.

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