Claim OwnershipMed Spa Confidential - Exposing the Risks, Rewards, and Business of Beauty
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© 2025 Med Spa Confidential - Exposing the Risks, Rewards, and Business of Beauty
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Exposing the Good, the Bad and the Ugly secrets of the Medical Aesthetics Industry.
Dr. Kate Dee takes you inside the medical spa industry, an unregulated mix of medicine and marketing where the results can be stunning… or dangerous.
As a board-certified Physician who left hospital medicine to found GLOW Med Spa, she’s seen both sides: the art, the science, and the shady practices that put patients at risk.
You’ll hear insider stories, expert conversations, and practical advice that help you spot who’s qualified, who’s not, and how to stay safe while still looking your best.
Subscribe to become a smarter patient and find out what questions to ask and how to figure out who is cutting corners in the wild west of the medspa world
75 Episodes
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What happens when a board-certified dermatologist opens a med spa in a state where he has no license to practice? A respected Seattle dermatologist who literally teaches other doctors how to inject Botox just got caught in a federal sting operation. An RN was led away in handcuffs and charged with three felonies. The doctor? He's now facing potential wire fraud charges and up to 20 years in prison. Dr. Kate Dee unpacks this jaw-dropping case that's unfolding right now. The doctor ...
Why are RF microneedling lawsuits piling up against one specific device? The FDA dropped several safety alerts recently. If you're getting Botox, fillers, or skin tightening treatments, you need to hear this. Dr. Dee was doing research for a potential podcast guest when something didn't add up. Dr. Dee has performed thousands of RF microneedling treatments over 10 years without seeing the burns, scarring, and fat loss the FDA is warning about. But when she looked into the lawsuits, she ...
What if that shelf full of expensive skincare products is secretly working against you? You're juggling serums, toners, acids, and retinols because influencers promised results. Dr. Kate Dee is joined by Dr. Angela Casey, board-certified dermatologist and owns a line of skincare for young women. Dr. Casey has spent decades looking at skin under microscopes and knows what actually works versus what just sounds good in marketing. Together with Dr. Kate, she walks through how to buil...
When that tip screen pops up after your Botox appointment, should you feel obligated to pay? This practice walks a fine line between unethical and outright illegal. Dr. Kate Dee breaks down the troubling spread of tip culture into medical settings, where it doesn't just create awkward checkout moments, it can actually compromise your safety. When businesses underpay nurses and rely on tips and commissions to fill the gap, it creates a flawed system. That system gives your provider...
What if the person injecting your Botox learned how to do it over a single weekend and there's no one checking if they're even qualified? In Texas, a woman died after receiving IV treatments from someone who had no medical license at all. No training. No oversight. No one stopped it until it was too late. Stories like this aren't rare, they're just rarely talked about. Dr. Kate Dee sits down with Dr. Dr. Kristen Jacobs, a board-certified physician who's been practicing medical aesthetics s...
What happens when trust in a "celebrity facialist" costs you your face? Dr. Kate Dee breaks down how an esthetician with a celebrity client list got away with performing medical procedures without a medical license or oversight for years. Victoria Nelson’s account on TikTok went viral recently. She had walked into a Hollywood spa with acne and walked out with permanent scars. The woman she trusted, Sonya Dakar, self-proclaimed "Skin Ninja" to the stars, promised flawless skin but delive...
Ever walk into a med spa and just assumed everything was legit? For today's guest that trust nearly cost her her life. Dr. Kate Dee revisits a riveting conversation she had with Bea Amma to help you understand exactly what went wrong and how to protect yourself. Bea shares her harrowing experience with an unlicensed provider who injected her with contaminated products. What started as a simple B12 shot appointment turned into a months-long nightmare involving a life-threatening infection, ove...
Ever wonder who's really overseeing your Botox, your laser treatment, or that facial you booked online? What if the answer is... nobody? Dr. Kate Dee shares a firsthand account from a master esthetician who left a successful, well-known med spa after just a few months. What "Sarah" witnessed behind the scenes reveals troubling practices that put patients at risk every day: procedures performed without proper medical oversight, broken equipment passed off as fully functional, and clients cha...
In this episode of MedSpa Mayhem, host Dr. Kate Dee welcomes back Dr. Flora Waples from Restor Medspa to discuss the importance of hormones and other groundbreaking approaches for improving wellness, longevity, and energy levels. They dive into the complex world of HRT, including estrogen, progesterone, and testosterone, and its critical role in optimizing health as we age. Dr. Waples shares her personal journey with HRT and metabolism management, discusses the science behind treatments like ...
In this episode of MedSpa Mayhem, Dr. Kate Dee hosts Mandy Ward, a nurse practitioner with extensive experience in the chaotic world of medical aesthetics. Mandy shares her journey from working in trauma ICU to becoming an expert in cosmetic treatments like Botox and fillers. The discussion covers vital industry issues, such as the importance of good faith exams, the risks of subpar practices, and the legal and ethical concerns in states like Texas. Listeners gain insights on how to choose sa...
In this episode of MedSpa Mayhem, Dr. Kate Dee is joined by Nicole Gregory, an MBA and business owner of Med Spas in Michigan, to discuss the challenges of discerning legitimate med spas from illegal operations. They delve into the inception and goals of the Medspa Board, a credentialing organization aimed at elevating safety and standards in the aesthetics industry. The conversation covers the complexities of the sector, including the prevalence of absentee medical directors and the importan...
Dive into the fascinating world of DIY skincare with Dr. Kate Dee and her guest, Anne-Marie Faiola, the visionary CEO of Bramble Berry Handcraft Provisions. Anne-Marie shares her journey from criminology to becoming a soap-making entrepreneur, the science behind safe skincare practices, and the importance of preservatives and safe ingredients in skin care. They discuss the regulations for selling homemade skincare products, the challenges of ensuring ingredient quality, and the benefits...
In this episode of MedSpa Mayhem, Dr. Kate Dee delves into the exciting developments in anti-aging and longevity medicine with Dr. Richard Baxter, a board-certified plastic surgeon. Dr. Baxter shares his journey from traditional plastic surgery to aesthetics and ultimately to longevity medicine. The discussion covers groundbreaking treatments such as the use of growth hormone releasing peptides, metformin, and therapeutic plasma exchange. They also explore regenerative medicine techniques lik...
In this episode of MedSpa Mayhem, host Dr. Kate Dee chats with Dr. Jennifer Linder, a board-certified dermatologist, about the complex issue of melasma. They discuss what melasma is, its triggers, and why traditional treatments like lasers can sometimes make it worse. Instead, Dr. Linder recommends a series of chemical peels featuring specific ingredients like salicylic acid, mandelic acid, and trans-examic acid. They also cover important skincare routines, the role of diet and lifestyle chan...
In this episode of MedSpa Mayhem, host Dr. Kate Dee dives into the controversial yet intriguing world of salmon sperm in aesthetics with guest Dr. Flora Waples. They discuss the science behind using DNA fragments from salmon sperm for skin regeneration, dissecting its safety and efficacy. The conversation also covers distinguishing legitimate treatments from dubious practices in the med spa industry and emphasizes the importance of regulatory standards and scientific inquiry in aesthetic medi...
Laser Craziness with Dr. Kate Dee and Rachel Lowe Jap In this episode of MedSpa Mayhem, host Dr. Kate Dee sits down with Rachel Lowe Jap, a laser expert with extensive experience in the medical aesthetics industry. The conversation covers Rachel's journey from aesthetician to laser tech and nurse, delving into her early inspirations and career milestones. They discuss the nuances of laser treatments, the importance of proper training, and the varying legal landscapes surrounding medi...
In this conversation, Dr. Kate Dee speaks with Dr. Jennifer Linder, a board-certified dermatologist and founder of PCA Skin and Linder Health, about the importance of skincare, the science behind effective products, and the journey of creating innovative skincare solutions. They discuss the significance of medical-grade skincare, the role of active ingredients, and the necessity of a proper skincare routine. The conversation highlights the ongoing innovations in the skincare industry and the ...
In this episode of MedSpa Mayhem, hosted by Dr. Kate Dee, the focus is on the use of exosomes and stem cells in medical aesthetics. Dr. Dee talks to Judy Rubin, an internal medicine doctor with extensive experience in aesthetics, about how exosomes can aid in cell-to-cell communication, particularly in joint and systemic treatments. The discussion covers what exosomes are, their applications, and the importance of using high-quality sources. Rubin shares her personal experience with stem cell...
In this episode of MedSpa Mayhem, Dr. Kate Dee discusses the advantages of direct primary care with guest Dr. Steffie Deeds, an internal medicine physician and founder of her own direct care practice. The conversation covers the broken traditional insurance-based healthcare system, the benefits of direct primary care for both physicians and patients, and the practical implementation of this model. Dr. Deeds explains the difference between having insurance and receiving actual care. The episod...
In this episode of MedSpa Mayhem, host Dr. Kate Dee interviews Amanda Lemmage, owner of Skingevity Med Spa. They discuss their preferences for different FDA-approved neurotoxins like Dysport and Botox, detailing the pros and cons of each. They then delve into their favorite laser and RF microneedling treatments, highlighting the superior technologies from Korea and the importance of avoiding high-risk treatments like CO2 lasers. Lastly, they touch upon the confusing and inconsistent legal lan...
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