BTR Ep84 Talking Laser Beams and Holistic Anti-Aging with April Umek PA-C

BTR Ep84 Talking Laser Beams and Holistic Anti-Aging with April Umek PA-C

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com reps you can get an extra three months of expressvpn for free support the show watch what you want protect yourself with expressvpn at expressvpn.com reps sick [Music] dude sound way more excited because we have a guest on our show today we’re just the best singers ever and this is your favorite kind of guest cause she’s gonna tell you how to not age it’s my favorite kind of guest yeah yeah yeah on the end of there hey guys welcome to between the reps with brooke and gina welcome back welcome back we’re going a little crazy we’re going crazy we did lots of yard work lots of yard work and we’re exhausted dragged ourselves off the couch to do this yep drinking the claws yeah sorry don’t judge us all right we do have a guest on our show today and i’m just gonna go through this little thing this little uh write-up about her before i call her on skype caller we are having april umek on our show she is a physician assistant and i don’t know what the c stands for if you’re wondering what i’m talking about by her name like her credentials it’s p a dash c we’re going to ask her what that stands for gina says cool [Laughter] april completed her undergraduate studies at loyola maryland oh wow loyola loyola marymount university in los angeles and holds a master of science degree from the physician assistant program at the university of medicine and dentistry of new jersey so she can also fix my teeth yup thank goodness jackpot as a nationally accredited physician assistant april’s medical background includes 18 years of experience in women’s health including surgery deliveries and patient counseling regarding hormonal therapies and other options to address symptoms of all stages of life including menopause so she’s really she’s a little late for you april’s wide range of clinical experience includes 18 years of practice in an urban emergency department and four years of practice working in a busy dermatology and medical aesthetics office this woman is a badass and she plays women’s ice hockey no yes that is cool oh yeah um that’s some contact sport right there women’s ice hockey she is really really big in yoga she’s been teaching yoga for 10 years been practicing for 15.

she’s a yogi and plays eyes yogi dude she’s got a i think she wrote yin and yang wow it keeps it keeps her you know zen yeah i sit on the couch but yeah enough of me trying to you know poorly read all of these information we’re gonna call april and our goal for the show one is just introduce her get to know her her where where her family’s from um basically all the things and for sure talk about where she works at this wellness center pacific coast aesthetics it’s in aptos california and they’re doing one they’re doing a lot of really great stuff there from the technology the stuff they’re they’re able to use the lasers they have and then also just their biggest goal for what they want the center to look like and they just really focus a lot on wellness and encompassing like she’s like i said like kind of everything yeah everything they want people to come there and it’s like a one-stop shop but with extremely educated knowledgeable people that continue education and they’re so they’re solely focused on you know health and wellness and not just like you know not just the exterior but also the people and just not like fixing something by just being like here take this medicine here take this take this you know so all right we’re going to call her i yeah i want to call her so that she can fix my face fix my face april maggie no one’s out there actually i think that we’re getting a package all right let’s try it’s a package for sure [Music] i just love this song i hate looking at myself hey hi can you guys see me okay no i can’t see you maybe push the camera button can you see us unfortunately you can see us yeah i was like i can’t stare at myself the entire time okay hey how are you okay yes all right we’re trying out a new mic so sit down who’s that this is maggie maggie oh she’s so cute we call her maggie terry because she has some terrier in her and it’s kind of like her alter ego is like when she’s bad she’s terry yep yeah got it she’s being mad when she’s sweet she’s maggie [Music] she’s terry she’s mostly troll she is mostly troll and terry she’s a garbage dog okay so we’ve met you and i but you have not i have not had the pleasure yet hi gina so nice to meet you nice to meet you too wish it was in person i know i kind of feel like i know you though watching your podcast oh you know you guys are awesome and super honest and we love that so i love well i love that thank you thank you yeah super stoked to be here yes so we did like one i think i already told you and if since you’ve been listening and watching our podcast you know this is like a very relaxed yeah there is no format candid so we i read a little bit about for like an intro just like your like school background and i need to know what is this what does this c stand for in pa c certified so once you graduate you have to take your boards um so you’re not like you’re you’re a pa when you graduate but you have to pass your boards to actually like practice so then you are in your little c at the end of your name so nice work yeah but yeah and then gina would love to play women’s ice hockey with you uh i didn’t say that i didn’t say that yes you would say no i just said that you were like a pretty amazing because it seems like you’re very multifaceted because you you know love yoga but then you also do ice hockey so yeah that’s pretty cool well it’s like a yen and a yang thing you know i come from a very much like athletic background i rode crew and i played volleyball and you know picked up hockey way later in life not till my 30s and then all of a sudden i had gotten divorced and just something drew me to yoga i wasn’t even very good at it but the reason i started doing it is because i got tight and i was getting injured and i wasn’t stretching enough and so i started doing yoga and somebody said you’d be a good teacher i’m like i don’t know so i did a training with ralph gates and it changed my life that was about 12 years ago and he and i have become really good friends and it’s been a part of my life i’m like this is not my career but it’s something i could share with people but also for my body as i got older it kept me limber and then more of my brain like was calm right uh-oh this idea look what no look no it could be good for you oh it’s kind of like like i hate fish right and every single person tells me gina you gotta eat the fish because i make it this way and i do this and i do that and i go every single time i’m like okay and oh i love that you’re sipping wine right now and they told her we were drinking yeah yeah cheers so and i still hate fish i think that uh yoga would be good for me but there’s a couple things i’m not limber i don’t like stretching and i don’t really like being in my head i don’t like being calm i don’t like it quiet so right there’s a lot of things that i i’ve i would have a lot of work to do to get there what if i was on the mat next to you and i’d just be laughing the whole time and i just like so you it wasn’t quiet so it wasn’t quiet i sang a little bit you’re gonna say you’re gonna give me a lullaby through yoga yeah perfect well i mean i’m always willing to keep trying so so my thing is my classes were like vinyasa kind of power yoga classes i play rock music so in the beginning it’s like more soothing and then at the end when you’re like you’ve done a workout you’re sweating like you did a crossfit workout it’s the weirdest thing but if you do it right and that was that’s kind of my kind of class so we should do like a private one when things are better and the music it’s all about okay i’ve heard i’ve heard about different places that play like more like music yeah you know besides just your typical what you think about like what you think what you would think that they would play a lot of places do play but i’ve heard about places like like what you’ve said you do yeah i mean i’m i’m totally game for trying anything so i would definitely do it i might laugh i might laugh through it okay okay well it’s literally like yoga for athletes because i was like you i couldn’t sit still i needed a workout i was like i went to a couple classes i’m like this is so not for me um i was not skinny like this i have like muscles and you know i’m not in the shape i used to be in but still it’s like right it was intimidating for me even like to go in because i’m like i’m not flexible i’m strong and over time i became flexible and i got faster i got stronger you know and as you get older you get you know i i was listening to your thing brooke about your um your neck and everything and that’s really intense and it’s so hard for an elite athlete you know i’ve never at your level but i could only imagine i broke my ankle three years ago playing roller hockey and it’s the first real injury i’ve had and so i made it like 40 years of my life without anything major and then here i am i can’t walk for seven weeks i have surgery i couldn’t work and it was devastating you know and it was that whole mental thing you were talking about like learning to do things for you and not to prove anything to anybody else and you know i had to kind of come back from that and it’s you know it’s pretty intense but i think it makes you a way stronger person and i admire that so thank you i want you to know gina that you’ll always also be doing it for me though [Laughter] just as i do it for you like i mowed your lawn today oh my gosh we did before you gotta get a friend like brooke because she has been ever since i moved into my house she has been begging to mow my lawn and i don’t mean that in a sexual way i mean she literally has been trying to get out to physically mow my lawn i just every time i go over i’m like and you know if i just bring my lawnmower up here and i keep telling her it’s all uneven i’m a little worried there’s like rocks like you could get hurt no no no she came over today brought her lawnmower and mowed my entire yard listen i mean just if you guys are like okay i get it it’s a big yard i mean it’s like it’s like oh it’s it’s a yard with grass no no it’s like hills and hills and potholes and like who she bought it from for sure was a lot of stuff that somehow got lost in the yard lots of strange little bits of bricks and and yeah it’s very strange yeah it’s very so many different types of plants that are how much better does it look i mean it looks it looks way better way better and she also you did pole weeds i did she was pulling weeds while i was mowing what was funny is that as she was working the whole time i just kept like sneaking over and finding shade and sitting down and drinking a white drinking pulling weeds because i’m just resting for a minute every i like quickly like pretend that i was pulling another one but anyway okay well back to april yeah enough enough about us we always get off off topic yeah i love it so april i have a question for you how can you help my face ah well so what kind of my my whole little background you know my background is women’s health so for 20 years i delivered babies did pap smears and all that good stuff [Laughter] downstairs and the upstairs at once so the funny thing is which i’ll get into in a second we had just added and we were gonna have a big open house before all the shelter and place thing happened so we’re gonna be launching it hopefully soon um diva so our laser is we’re the only ones in santa cruz county that have the sciton laser which is the top laser on the planet and it’s anti-aging it gets rid of sun spots it creates collagen but our new hand piece the diva is the only laser that with the technology it helps increase um moisture down there it helps with dryness incontinence we’re talking about the vagina yes the vagina okay yes okay i wasn’t clear right yeah yeah yeah okay it uses the technology we use on the face or neck or chest the outer skin but it’s different settings and it’s the there’s a couple other lasers that are out there for women that have dryness you know again you hit menopause and even before that people have little issues and they were so so and this is the first one that literally treats the depth of the pelvic floor so it actually helps to lift the bladder as long as it’s not super severe right so you know like i haven’t had kids but in my 30s when i was working out i started like oh my god i’m going to pee myself how is this possible very common yes that’s not okay you’re 30 you know but that sort of thing occurs there and then women have kids gets even worse um and then you age a little bit you have hormonal changes you get dry and the same thing that’s happening for our face and our neck and our chest why we get wrinkles and spots is happening down there we lose collagen and estrogen is a big part of that and so this literally thickens the lining so that it’s like the lining of a 25 year old when you’re 55.

sign you’re gonna look and feel the best on the inside and the outside by 55. all i just keep thinking is like the inside of my vagina looks like my face i thought the exact same thing like just sprinkles and like sunspots you’re aging on the outside and the inside oh wow you’re like well actually yes that’s sadly it’s true well we kind of talked about we had talked about like uh like let’s say crossfit because that’s what i know the most there are so many women that like are pretty young that are that people they’re just they just kind of return they’re like double unders for sure like all the time hopefully yeah totally and it’s sad because you know like as a woman to me it’s really important to have some muscle mass and as you get older you know and you approach menopause muscle is what burns calories and things you know and that’s what burns fat and once you start to lose your muscle mass that’s how you break bones that’s how you get like all right you know and we call it the melting ice cream cone right you start to look like a melting ice cream cone yes yes which is happening to me crossfit’s super intense i’ve done like a little bit so it’s funny because my mentor ralph gates he actually lives here in santa cruz i’d love to introduce him to you guys because he got me into crossfit with our other friend and we would just rent the little room because he was too scared like that he was not scared i will take that back this man was an army ranger and one of the gnarliest humans i’ve ever met yeah and then he turned into a world famous yoga meditation teacher but he loves to work out he loves to surf and he’s in his early 50s now so we would like rent the thing and he was um the coach would like give him workouts and i would tag along and i’m like holy cow it took me back to my rowing days where you’re like pulling the ropes and the whole thing you know and i but i could see like you know it’s very intense and sometimes for women their pelvic floor gets stressed and it depends on your collagen um your ethnicity you know and sometimes it depends on nothing you could literally have a prolapse my um my boyfriend is a uh er nurse and he said my god there was a 29 year old gal who worked there pretty hard that she came in the ear with a vaginal prolapse meaning her uterus went and she like freaked out i’m not laughing because i’ve i’ve never okay i’ve like joked about i mean i’ve joked about like when i’m on my period my menstrual cycle i say that for gina and i’m like cramping so much and i always i’ll say like oh my uterus is falling out i didn’t realize that’s a real possibility i’ve heard about it but i thought it was just like really old people is it just because you don’t this isn’t closed so like it’s your muscles right your ligaments your ligaments that hold everything in place they start to stretch and again it’s i mean for her i don’t know what her background was i just know she worked out a lot um and kegels only goes so far you know and i’m really hippie dippy like holistic and that’s why like with our office you know i’m about i’m like instead of like chasing aging with botox and fillers like do this stuff with a laser get your skin on board and you will look i mean i’m 46 now and when i was 38 i hit the wall i like had great skin because my mom was colombian about all of tone and i grew up in southern california and i never laid out but i always was outdoors rowing and whatever and i had great skin and then one day i woke up like wrinkly and sun spots and i was working night shift in the er i’m like where am i getting this from i’m not even in the sun but it was my 38 years of life and i started delving into the world of laser because i didn’t want to do anything i’m like i will never do botox i’ll never do any of that i used to say that and then i realized like this isn’t about vanity i want to look refreshed and i want to look healthy and all of a sudden you know i always look like 10 years younger than my age and now all of a sudden people were like you look so tired what’s wrong you know that’s horrible are you okay are you sick right yeah and i hated that and so i secretly like put my head between my legs and like crept to this place and like did some basic laser you know and it really like cleared up my skin and then i was as i started delving into this world my mom got a pre-melanoma my mom was colombian got a pre-melanoma on her face and i watched her go through moe’s surgery and a crazy crazy thing and i said this is fascinating you know thank god they caught it early but if that can happen to a colombian person think about everybody else right white people for sure i was fascinated i went into i started going into durham and you know aesthetics is kind of part of it and but i wanted to bring my background you know and when we finally had the opportunity to open our own place my business partner he’s an er doctor he’s like absolutely amazing one of the best er doctors you can imagine but super goofy and super smart and i said this is what i want i want to create something like this and then i found one of my friends who was this awesome esthetician but she’s very like charismatic she was a model so she’s gorgeous but getting older and i said you could use our laser you know you could have a halo and i said what we’re going to open up is a place that focuses on wellness and i want to teach you know some yoga classes meditation um but you also need to work out we want to bring in nutrition and i feel like we’ve been open exactly a year i have met the most and like brooke walks in and i’m like the most incredible people in this last year of my life that are supposed to like come in because i feel like they’re like what i love and the energy you know that i love and it’s it’s it’s been like one after another you know and so i’m not even sure like your two is going to be insane but we want to do it in a way where again it’s not just injectables and whatnot it’s about everything that’s so cool you know like again when i was talking to brooke i’m like how old are you and she did all this stuff and i looked into you you know and i was i was watching ultimate tag last night i know somebody said wasn’t it cool to watch i know i literally though just total side note um i have like i don’t get anxiety ever usually i was like like panicking for the contestants because i said those guys can you imagine letting one of those loose and now they’re chasing you no and it’s not even like you’re gonna tackle them or like do something that you’re just trying to grab the thing but i was like oh my god run so crazy i mean it was really like super awesome you’re like superheroes you know especially especially like when tavon the flow or like jesse yeah like they’re just so incredible for free running and parkour and they are so they’re just like effortless floating over all of the obstacles like if i saw that if i was running and saw somebody floating over right now it would be terrifying terrifying i know yeah that was super cool and and literally like with a smile which is what i love you know it’s it’s awesome gina do you remember when you were in italy with me yes and it was when we were had some down time it was extremely difficult to find anything to watch we couldn’t find any nothing because my ipad my laptop and our phones didn’t we weren’t able to access the shows from like netflix and stuff online that you could access when you’re in the states right because we didn’t have expressvpn well now we can yeah you guys expressvpn not only is it for me super attractive for just having protection privacy security with online type stuff but with all of us spending so much time at home right now and probably getting really bored with a lot of the options we have on netflix expressvpn hides your ip address and lets you control where you want sites to think that you’re located so if you’re out of your you know a normal country that you’re living 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com reps protect yourself protect yourself so you know that’s kind of the um the vibe we’re trying to portray and people come in and you know it’s they’re like wow this place feels very zen and like comfortable but we get stuff done you know our laser will transform you and it will if you’re already in a good place it’s gonna make things even better and you don’t have to do a lot of things is the other thing you guys are busy yeah you don’t need to be in here once a month doing some kind of treatment you know and that’s where i felt like with microneedling and all this other stuff like i just didn’t see the the results that yeah i thought people should have the down time like who has time for down time you know so she like rich you guys you know rich people not us but rich people do yeah um so there’s something else that you guys uh brooke was showing me that i’m really interested in finding out about which is the bbl yeah i was trying to because remember how you would mention the halo and then the bb yeah as soon as i got to this house i was like no she no no no no no this is even better she goes she goes yeah um uh i i i looked in this thing and they have vaginal rejuvenation like looking at me and i was like she goes it’s for for dryness and and i was like i’m not dry [Music] [Laughter] like i was the first person she thought of like oh gina needs that yeah anyway well i’ve been trying to mow your lawn for years i wouldn’t well now well now that i know that the inside of my vagina looks like my face then i’m probably gonna have to do it but but yeah no i was interested in this bbl thing and the halo i tried yellow i tried to like read through the website and we went we like read through it and looked at we looked at the photos of uh your office manager kristen yeah adorable but i didn’t i mean i’m not the person to obviously trying to explain it to myself or to her so could you walk us through both of those procedures definitely sweet so bbl is called broadband light and it’s basically um you may have heard of ipl so a lot of the older lasers um intense pulse light and that’s what i first had when i started what it does it’s very superficial it doesn’t um like pierce through the skin but it creates a reaction in the skin that lifts sun damage so any spots you see on your face that have popped up over the years that sun damage which any of those can turn to skin cancer so this is not just to make you look better it’s actually a medical it should honestly be covered by insurance not right now maybe down the road hopefully it will lift brown spots if you have red so a lot of people will get red vessels around their nose or like a rosacea kind of look or just very pink and vascular it also helps with that so when phyton was created it’s made by hand in palo alto like for each office it’s super i mean it’s very expensive but for a reason it’s it’s so well engineered so what they did was um bbl is the sapphire glass that touches you it’s bigger it can cool you better and it has seven different filters so if you’re fair like you guys i could be really aggressive on because you don’t have a lot of melanin underneath but if you have some italian greek um asian you know stuff like that you have to be a little careful so i can pick filters so even if somebody’s darker skin i can safely do this it’s going to take more treatments maybe but it’s incredible so it will lift the brown so any spots you have seven to ten days later those come off the red vessels usually immediately go away which is super cool and there’s a guy over the hill dr bitter in los gatos who he was one of like the early pioneers with this laser and he said his patients were coming back going for this price and no down time because once you clean up all the stuff on your face you’re saying my texture looks better people are commenting that i have this like nice little glow to my face i want to keep going he goes huh i wonder what’s happening because we’re not stimulating collagen deep or whatever so he did a 10-year study at stanford you did this twice a year you weren’t allowed to do botox or anything else these people literally de-aged so 10 years later they looked younger than the day they started those that’s crazy plastic surgeons you know this was no joke and like we have the photos in our office of the study and even their deeper lines got better which is really weird so he biopsied the skin along the way and what he found was your anti-aging jeans sadly at 30 so here we go brooke we got to start you’re like at your peak right now you’re at your peak i can actually see you looking shittier oh good thing you look shitty with me that’s why you’re friends with me i’ll always feel like i look good sorry go ahead april you guys both look amazing oh everybody says that thanks thank you very much we have a very dark humor thank you yeah sorry guys you know basically all of that in your 30s starts to go down so you lose the equivalent of a syringe of filler a year after 30.

and so by the time women hit 50 if they haven’t like done anything to stimulate collagen you’ve lost the equivalent of 20 syringes of filler we’re not going to put that in your face like a maniac but it gives you an idea of what’s actually happening right so this machine was literally turning those genes back on and shutting off your cancer genes which start to turn on as you age and they did like pcr testing they did testing where you can see the genes lighting up and it was lighting back up you know which is super exciting and that’s the new stuff in medicine you know epigenetics and you can control your genes only like 10 of your genes no matter what you do you’re stuck with that the other 90 you can turn on and off you think about muscle memory you know even if you stop working out for a while but then you go back to it like you’re turning those genes back on that’s why that happens for people so with this you’re literally turning your anti-aging genes back on and that’s why these folks started looking younger and younger and we’ve had people in their 60s who do this for years if you’re like stare at them like what the hell are you doing you’re looking better and better you haven’t had plastic surgery like you haven’t done anything like drastic and they just do bbl so that is a super low downtime anything yeah but how often would you would are they doing this are they doing it like once a year twice a year they were doing it twice a year in the study is that what you said okay sorry i missed that part i know like dr bitter he has his patients come like every four months i do mine twice a year there is zero downtime people will come on their lunch break it’s quick it’s fine so that all happened and then halo came about so halo is the world’s only hybrid fractional laser not to get too like geeky but there’s um there’s two wavelengths and it creates you may have heard of fraxel in the past like i’ve had fraxel and ipl before like you look kind of crazy afterwards like you can have a hamburger meat sort of look yeah our patients when they have a halo literally look like a million dollars when they leave they are very hot but they look like a million dollars and it’s because they took the fraxel technology but they took two wavelengths they spare a little healthy tissue so there’s like a little it’s like aerating the lawn not mowing the lawn okay that’s the difference okay mowing the lawn is all those older lasers co2 and that’s why you look like bloody hamburger meat for two months and then it takes years to actually like your skin looks like a burn victim sadly you know it’s like this like slough pretty crazy yeah yeah this you have none of that and the skin looks intact but it has these little micro holes the next day you will swell a little bit like i swell a lot for some reason some people you know they’ll swell if i go deep around the eyes you know that sort of thing if women have a lot of wrinkles around their mouth they’ve never done anything now we’ve got to go backwards i’ll go deeper there yeah but if you don’t need that and you’re doing it prior to that your down time is so minimal and then you’ll get these tiny little spots they’re called men’s m-e-n-d-s and it’s old dead tissue kind of coming up my day you saw kristen’s pictures right so by you know day three four and she’s like got a little bit of european croatian italian and her so she gets more men’s um some folks like you guys i mean you may get some but you won’t see as much of the fairy you are by day three day four that’s the worst of it and you saw what she looked like she came to work every day you can actually put some um healthy makeup over it and by day five as you’re washing your face it’s coming off and by day six you look like you know her skin i mean it’s it’s insane wow so without looking like hamburger meat running a risk of infection um because that’s another thing you’re creating these little micro holes that heal in 24 hours so you can’t have your puppy lick your face for 24 hours that’s about it you know but other than that yeah sorry man yeah oh maggie but other than that you know it’s it’s such insane down time and you know in non-coveted times i will do my thing i work every day i know i’m really swollen the next day but i can’t even tell because you don’t feel it and then i go to wash my hands i’m like oh my god yeah and then by like the next night i had gone out to eat two days later i was playing hockey and i don’t tell people you can do this because you’re wearing a helmet it’s probably not the best idea but i’m just saying this is how safe it is you know and you do that once a year you are in great shape really so would you halo once a year bbl twice oh so both yeah so you would do them together yes you so you can do the bbl and the halo together and then but you only have to do halo once a year okay and then like six months later you do another quick bbl because we’re always picking up pigments oh you know i don’t care how much that’s green i’ve got pigment showing up every day yeah like she was looking at she was just kind of looking at my face and she could see where i was i had some like dark like pigmentation coming around like through around here oh so she you know she’d mention that we would do a halo but she could just localize certain areas with that with the vbo right right because i have i mean i have so many age spots popping up on my face it’s crazy it’s like uh i i literally just like three months ago like i felt like like my face looked pretty decent and all of a sudden it was like one two i mean it was like all over it’s everywhere it’s overnight crazy yeah so uh if you don’t mind telling us how much would that cost so the like itself is usually about 450 you know i mean kind of bay area kind of prices you know we’re about there some places a little more um and then the halo depends on how deep you go okay so it depends on like you guys looking at your skin when you’re starting at a good time where you don’t deep etched in lines usually starts around 1500 and that includes like all your post care products things like that right when people have waited too long and we have to do a lot of deep work like let’s say around the mouth you know everybody’s like i don’t smoke i’ve never smoked where are these lines from your starbucks coffee cup your water bottle you know um you know and those are all the things that you you start to see those people you have to do a lot more um and so the price goes up a little bit honestly considering the results you get the different um you know that change and how quickly you heal it is nothing compared to a lot of other things because i’ve done all the treatments you know um at different places and i just found nothing worked as well as this as rapidly as this yeah and it’s cheaper than anything else like you’ll see well i just i you know i wasn’t ignoring you i was on my phone and i was just adding it up and i was like oh that’s a hundred and sixteen dollars a month right that’s not bad that’s not bad you should actually mark it that way i mean if we if we if we’re getting a facial like once a month i i just yeah i just added i mean say say it’s 450 times two right and then you add coffee but that’s what i’m saying oh yeah wait did i do that right i don’t know what you’re doing yeah 450 for the bbl yeah sorry i could have done it wrong hold on i might just do them together we also um discount that a little because it’s you’re in the room one time we’re using less products and things like that so it’s i sorry i don’t know the price off the top of my head but it’s actually a lot so one people oh yeah i know it’s more than that it’s like close to 200 yeah but still still what i spend already on products facial products and like all the other stuff and if you’re doing botox or anything else it’s like when you break it down i would be more than happy right to pay that yeah right okay so the other thing is i found you need less fillers you need less of this other stuff when you do this that’s like the photos you showed me like me so what age would you say you should start oh sorry i was going to say it was like the photos that you showed of like all the different ages that weren’t doing like were in the study that weren’t allowed to do anything extra and you were seeing these people like all their lines gone softening and like there’s like these these pictures of people that are in like they’re older right and they’re they look way younger right if you so what if you sorry i didn’t mean to interrupt you if you what if you only did the bbl and not the halo not the same thing if you did the bbl you would get um you know again you remove spots and all of that help with red and you would see over time a very kind of a slow change and that’s why it took years you know to see i mean like brooke said the people would like etched in deep lines that’s what we were shocked why does that help halo should help with that because you’re creating holes you’re going deep to create the collagen blah blah why is this helping but it’s because the jeans are turning back on um with the halo you get this insane glow to your face like i had mine a little while ago and it was like i always love the week after i heal because you just see this like beautiful baby healthy skin come out and then three to six months later the collagen gets to the surface so you start to see like a lift and that’s why you need less filler so with bbl you’re not going to create that much collagen you’re going to see a superficial smoothening okay and it’s really good at helping wipe out all that damage as it’s coming up the halo gets it deeper and creates that little bit of a lift so you get plump you get this deep glow and there’s a like you see little kids and their skin’s just like bright and shiny that’s what you get and they call it the halo glow you know i just want to steal all their skin [Laughter] just steal their youth where i was still suck off all their youth all their youth yeah no it’s really interesting i’m definitely doing it me too she was like talking to me about it and you know she was like do you have you done any lasers before and i think i did uh i can’t remember maybe i did the ipl one time oh cat did it yeah and was the only time i’ve done it yeah so we were just kind of like getting an idea of certain things and she started just explaining some of the things they have at pacific coast and i was like yup sign me up and i was like oh my god gina is going to love this place that and the vaginal rejuvenation i walked into the gym and i was like oh okay you’re going to be so excited she did oh look what i found i was like we were at our house and i was like okay we have to look at these photos i know we did that’s what we did the entire time but i totally like it’s funny because like i love you guys because again i came from this background where it’s like it’s about being naturally you know like healthy and and fit and blah blah blah and you know i i’m an only child i was sworn my dad wanted a boy because he would support any athletics i did anything and i wasn’t girly at all my poor mom like terrible but it was something that was like so ingrained in me like just be physically healthy and i was a super late bloomer and all i cared about was sports and then you know again you hit a certain point in life where it’s like i didn’t want to do it and i kind of felt bad i didn’t want to do it like am i being vain that’s how i was you know and i said no when and i from the bottom of my heart you know like i said i’ve done 20 years of women’s health seven years of emergency room urgent care um you know and then delving into this world i get so much patient satisfaction because so many women of all ages come back and when they look in the mirror and especially through times like this you know it’s kind of gnarly people are like reaching out like well we’re not allowed to do this or that and everything’s changing and you don’t know but you know prior to this people are like i i just feel good you know like my mom just died i’m having a really hard time or i just went through a divorce so many women in their 40s late 40s you know going through that and they just look in the mirror and when they look good instantly your dopamine goes your serotonin goes look good and then they go and start to work out my one friend she like is the head of like this huge marketing company like makes more money than god but she just started gaining tons of weight she was waking up at 4 00 am to work and was not healthy she finally had a halo she was like scared and nervous we just did it she goes oh my god i’m seeing like how my skin looks she’s now greening drinking green tea she’s working out every day she goes let’s see how long this lasts but it’s motivating her to take care of her body because her face looks good right and i am so like over the moon with that we did a diva um a while ago on a lady normally you do it’s the vaginal rejuvenation i love the name diva by the way i’m like yeah the diva i’m gonna start calling my vagina diva yeah why not stop being such a drama for three months is the treatment and then depending on your age if you’re young you may not need another one for 20 years you know it may correct your issues and then if things start up again you just do a quick treatment one time okay um if you’re post-menopausal you just may need a touch-up every once in a while you know once a year or whatever right so we had a woman she’s super active she hikes 20 miles she leads these hikes it’s like crazy and she has not really been able to be intimate with her partner her husband who she loves and like she’s so vibrant i think she’s in her like mid to late 50s and she had one treatment and he was so excited because she’s like okay let’s try this and she’s super sarcastic and whatever she said it was amazing wow she had no pain for the first time in years she’d have to use lubricants and it’s all greased up he was beyond like over the moon and that’s such an important component for people you know and so many like 30 of women say you know i want my doctor to bring it up and they don’t so i think there’s nothing you can do this is part of being a woman oh this is what happened it’s it’s bs and so we’re just trying to get the word out like and again this should be covered by insurance this is purely medical right you know it’s not aesthetic and it’s sad that not every ob gyn outfits has one of these you know it seems like it’s just you know there’s so many things for women that is like people don’t talk about because it’s like it’s almost like if you have this oh you’re you’re you have a there’s something so wrong with you like there needs to be a dry pussy ew gross i mean by looking at your fantasy i could tell by how dry your face is that your pussies dry i can’t i mean it just happened to be the other night some guy said that to me [Laughter] it’s like we are trained it’s like there can’t be anything wrong with you and then if it is wrong it’s like there needs to be something of normalizing the normal like yeah you know and it’s like that’s why it probably is where it’s not even spoken about from doctors because they probably don’t even don’t even think about it or consider it because or maybe they don’t even know what’s out there i feel like there’s so many doctors that are so complacent and i think that they just have been doing the same thing for so long you know how people used to not want a young doctor they’d always want like an older doctor it’s actually the opposite because there’s so much new science happening all the time that you want a younger doctor somebody who’s gone through medical school in the last five years you know because they’re they’re coming up with so much stuff every single year that is so different and so i yeah i think that that’s part of the problem you are so right thank you april you couldn’t have said it better and i i mean i had a woman who was also she was like 60 and she we were talking about this and she had no problem like discussing it she goes this is so interesting because i went in for my pap smear and she was complaining to her doctor that like everything was like getting painful she’s getting a lot of utis it’s all locked you know lack of estrogen and all that and he it was a man and he’s like you know and he was like getting uncomfortable and she’s been happily married but she’s like i can’t do anything like that either you know and even it’s not just sex it’s like comfort right and getting utis like these are medical problems yeah so he’s looking at her literally like a deer in headlights she said because she’s so uncomfortable you know and i’m like it just i was like on the verge of crying for her and she goes so what’s like what’s happening and he he gave her the medical explanation well you’re losing estrogen and then everything’s getting drier and you have decreased blood flow okay thank you yeah that’s it moving on so do you need your mammogram you know and so she thought there’s nothing else you can do and a lot of you know ob gyn sadly don’t realize that there’s things you can do see and not for nothing they’re in a world of insurance and building i was in that world for years but i was always out of the box and looking at like again how other things can help you be healthy these folks are you know and you know not not to beat down on them it’s hard you’re seeing you know a patient every 15 minutes now insurance pays you nothing blah blah blah sure story of medicine so and these are very intimate conversations right you got to sit down and chat you know and if you’re being pushed and you got to be out the door in 15 minutes and you still have to do a pap smear and a full exam this doesn’t come up and they don’t know and they don’t have 300 000 lasers like you know it just there and now everything’s corporate that’s the other thing when i when i grew up in ob gyn we were a tiny like mom and pop shop it was me and dr kuteri like we were together alone he started that practice this big italian guy it was amazing for 12 years then all of a sudden he had to sell it to a big corporation because he just couldn’t make it anymore and it went you know it just everything changed and that’s how cool goes darren sure yeah so you’re just not going to get the info over the hill like if you’ve got money and you like do some research you’ll see offices are starting to have diva because the high-end offices carry saitan and so they’re starting to bring this in you know a lot of the women’s groups interestingly in ob gyn are pulling in lasers because they’re women right and oh i’m starting to have these problems you know and you know so the doctors are having the problem so lo and behold a laser shows up in their office the male doctors are that worried about it yeah yeah so it’s it’s it’s been a it’s been a long road but dave is the first one that literally can address everything because most of the older ones just address the dryness so that’s the superficial stuff but never the deep pelvic floor stuff and interesting i mean believe me i tried everything you know bio feedback therapy and all this other stuff and it’s just it’s really intensive stuff you’ll have time for it um you know and there’s there’s other things the jade egg i’m like delving into this world now i think there’s a lady here in santa cruz that i want to reach out to um to kind of send her patients and have her i’ve seen it on social media yeah and it’s like like the yawning egg wait do you just pop it in your pussy and you just have to hold it there you do and you like squeeze and if it’s i mean you have to just i’m sorry just pop it in just yeah and then you just squeeze it and someone’s like i just feel like brook’s just sitting in the corner just making this weird face what are you doing she’s doing she’s she’s exercising my egg exercises is it any like i guess i love that i asked you to tell me about it and i’m like here let me keep asking you questions yeah is it kind of like like benoit balls in a sense yeah okay because you’re again what it does if people tell you do a kegel most women contract their apps all that’s going to do is maybe give you halfway decent abs not even because you’re not doing like yeah the actual contracting or hoo-ha yeah and so when you do that you can like when you’re not to be too graphic when you’re peeing yeah you stop the stream right that’s the key i’m doing i’m doing them right now i know i was like oh huh my sister used to clench her butt cheeks and thought that was kegels this is a dummy it’s hard to find those specific muscles but those are the ones that are going to prevent you from peeing and have that issue so you know the egg and all that will like really target those muscles so i think honestly like if you did your divas you did your series of three and then you’re done to maintain your results longer so you don’t have to do another one for a while if you did something like an egg that’s kind of like your maintenance okay just like if you do a halo once a year and then every once in a while like we have awesome estheticians that do medical grade skin care feels amazing they’re sucking out all the gunk out of your pores and like i don’t wear makeup but i’m always shocked what my little jar looks like because they suck they push in fluid and suck stuff out like oh and it’s just from sunscreen pollution outside you know like all our environmental things so to maintain your halo results it’s nice to do a nice skin care every once in a while it’s a nice treat for yourself you know every couple months um this is the same sort of thing if you put an egg in there and you can hard boil your egg [Music] there’s the thing that i’m like i don’t know if you’ve heard of um kimonomi she’s she’s huge on social media she is you gotta pull up your phone right now you gotta look her up she has hung surfboards out of her vagina stop it she’ll like stop stick something in there and her pelvic floor is so strong there’s a chain coming i’ve heard of like and there’s people doing that stop what’s her name him a notch [Music] kim kim kim and dude got it a-n-a-m-i yeah okay i believe holistic sex plus relationship expert what vaginal weight lifter surfer and orgasmic enlightenment wait i want to see where she’s handling she’s a surfboard photos shoot i don’t see it on instagram here but it might not be allowed i don’t know people do because it just shows stuff on there it doesn’t show her actual vagina it just probably just shows it’s the chain she’s like a vaginal fitness guru and god if i was a dude i would be scared to death dude right here says vag kung fu so there’s this one photo i don’t know yes that’s come true so this photo right here she would there’s like a huge crystal hanging out of her hoo-ha i don’t know oh my gosh look at that like she has a chandelier hanging out of her vagina in the eight week vaginal kung fu salon you’ll learn what oh did she would break a dick in half interesting world um and my you know my crazy fiance he like was like april because he knows my background he’s like you gotta like get into this stuff and my fear is that if you get somebody just like working out you would never like brooke i was listening to one of your things i don’t know what you were talking about no i think it was maybe you guys were talking about jillian michaels or something and i thought that was hilarious it was a while ago yeah i was one of the first yeah but it was you’re not going to take somebody new to working out and do the gnarliest crossfit workout right yeah you know you’re going to coach them you don’t want them to get injured blah blah blah it’s the same sort of thing with this you’re not going to go and you’re not going to hang a chandelier out your pussy we’re going to start with all right everyone take your finger with a pee and squeeze can you feel it no don’t squeeze your butt cheeks gina the wrong hole that’s step one man we should take a class oh my god i would die i just get worried that people will like because in the world of social media they’ll see that and be like oh maybe that’s what i need to do meanwhile hanging a chandelier is a whole training program yeah right you know to get your pelvic floor to that point you know and but it’s it’s going to be my new year’s resolution for next year i’m going to be able to hang a chandelier well whoa bless you i’m gonna buy you a chandelier you know where this is going do you know what a friend comes over where are you gonna hang this up oh no no that’s don’t touch it no i got this don’t touch this right here oh my god oh my goodness so funny i mean it’s pretty amazing it’s an interesting world you know but to me it’s also a segway because women’s health was such a passion for me um i’m super stoked that my laser that can like help all this can help down there yeah and it was i mean it was like a gift from the universe i i don’t know i mean i i just sit back and i’m like wow because 20 years ago when i delved into that field i just never thought yeah it would all come together like that you know but it’s so important yeah it really is it’s uh take it from someone my age it’s very important i think it’s really cool um that there are people that are really exploring like her right like what she’s teaching and helping people understand and like even just the conversation of like oh your headphones never done that before the conversation of like the percentage of women that have never had an orgasm right crazy oh my god you know and like you just leave me like that’s it’s actually really high it’s like crazy high yeah you know and it’s like i’ve seen like there’s different documentaries or shows that are kind of about like that type stuff and it’s just been it was just a very male dominated you know it was like if you couldn’t do that it’s like you weren’t even really supposed to well and i think a lot of women were pretending and you pretend because they didn’t really know what they were and they felt like they weren’t doing something right so or something was wrong with them so then they would pretend that they were having orgasms to make i mean not only themselves feel better but the guy to feel better and realistically it’s like a lack of a lack of knowledge of your of your own body yeah and it’s and it’s also really easy for people i think now for people to be like oh yeah you should know your body but then you you know people are discovering and you know using taboo terms or things that for a lot of people are like oh my god like why are you talking about that but realistically it’s like it’s just women’s health like it should be talked about you should feel comfortable with it right and right you know and we are more complex than than males sorry eric eric so they’re like oh god please i don’t want to hear this i mean it really is like it’s it’s very it’s very cool that there are people that are sort of like you know at the forefront of sort of like trying to get rid of all of the weird connotation over this stuff and like it’s not what it’s not a dirty thing yeah yeah yeah i agree and we all deserve it an orgasm we all deserve an orgasm right yay or more multiple i mean when we bought the diva hand piece for our laser again it all is a platform on the same laser that’s what’s so amazing you can keep building off it you know we got a special marketing person and i’m like why i love my rep dylan he’s this cute little guy he’s like awesome he comes down helps us out and i was like okay and they’re like it’s a delicate subject yes it is but if you treat it too delicately then you’re making it taboo right exactly like you said this is part of our body like my arm yeah i have a vagina okay and yes you know it’s hidden in pants right now but for guys everything’s out there viagra cialis how many of those commercials do you see right and the only comer like i don’t watch tv anymore i literally just watch podcasts and these things like this but my father 82 lives with me and he’ll sit there and watch tv and one day i was just spending some time with him and i’m watching horrified that there’s viagra cialis and in that one commercial there’s that old football player and he’s taking some like testosterone supplement um and bye and he’s getting sexy again he’s like 60 years old and then the next commercial is a poise commercial for a woman here’s and she’s like some high functioning executive she’s trying to deal with things here’s a baby and then her solution is where these freaking pads in your underwear looking at me like what is wrong with you and this is not right yeah it’s true you know just legit women don’t know it’s it’s like society continuing to ask for the oldest doctor in the room yeah exactly exactly yeah what are we gonna do for men when they have a limp dick we’re gonna come up with this really cool thing you know to give him an erection what do you do when women piss themselves we’re going to put him in a diaper wait what what are you going to do when a woman can’t get wet on her own what she’s broken squirt some shit up there she’s hurting she’s broken no you gotta squeeze a bunch of like stuff in there or you gotta take hormones or you have to have surgery you know when i was doing women’s health those were my options for women and as i started researching this i was down in monterey i would be sending people over the hill because nobody had anything from carmel to to basically santa cruz mountain to help so i would send him over the hill for like a mona lisa or something which is the older technology because i said you’re not a good hormone candidate and you don’t need it right and surgery is your only other like this is not okay you know so maybe this will work for you but this technology has been evolving for years and diva finally took and that’s the same thing with halo on the face it took fraxel technology co2 you know i mean the guy who invented cyton is one of the grandfathers of laser he did stuff in his basement because that was only place that i had a 220 outlet and he was like insane probably could have blown up his house but he just figured this stuff out and over you know the years this is where we’ve evolved like you said you get the guy that knows that went to school the most recent because that’s all the new stuff you know and i have great respect for the ob gyn that i worked with dr katie he was a pa first and then back in the day you couldn’t do women’s health you were only in surgery or um primary care he wanted to deliver babies so he goes back to med school becomes a doctor and then here i come along years later and he’s like i should have just stayed a pa i didn’t realize you could do all these things right but he was amazing because you know he had this like mentality of growth and he would even though i’m a pa i’m not a doctor he would ask me questions you know why i was in med school more recently than you well you’ve been out of school for 20 years and i would like to say i don’t mean that anybody who’s older doesn’t know i mean i think that there are people that take the time to continually educate themselves so it’s not necessarily just an age thing and i know i need to clarify that any if you have an older doctor it doesn’t mean that they’re not educated or don’t know but you want to make sure that you have somebody that’s doing continued education is totally really what i mean yeah exactly yeah experience plays a huge role it’s like someone who may not is a little bit you know older seasoned has the experience and you might have someone come in that has all the most up-to-date learning education information but maybe they sure there’s a combination of you know you lack the ability to even like communicate it you know it’s right yeah it’s it’s a it’s wonderful for people that you know we just want all the doctors to be having continued education yeah more open-minded that like you don’t know everything and that’s okay and you could probably still learn something from someone else there’s always going to be more to learn yes always all right now we’re going out and we’re awesome yeah no a lot of people will say like oh my god you know like you’re a doctor you’re in your white coat and i had a woman tell me years ago obgyn one of like i respect her so greatly she goes you know what april you don’t need to know everything you need to know the basics don’t be a dumbass you know know the basics but you have all these books and stuff the internet came out and when a patient asks a question that you’re like huh cause they read something somewhere right you’re like huh can i look into that i will get right back to you they so respect that yes absolutely instead of just pretending that they know i know sorry there’s somebody at the door so maggie’s barking but no you’re right yeah yeah it’s oh and you know what i mean uh that’ll just send me down a whole other round don’t do it though it’s always okay to say you don’t know something i can’t stand know-it-alls it like drives me nuts like it’s okay to say i don’t i don’t know you do it all the time me too i don’t know let me ask siri though i don’t know i don’t know well you know and that’s the thing it’s like be a little humble and be like wow there’s so much stuff out there be open-minded that’s you know that’s all you can ask for and as a healthcare provider you know you’re on board to do no harm and do the best for your patients and if there is something out there you know that’s the thing i’m like yeah we’re the only ones around here that do this i wish every office had this because there’s a million women out there you know just in santa cruz that should be getting this you know for medicinal purposes you need wet pussies yeah everyone deserves it everybody has a little wet pussy they really do though they really do they really do oh my goodness well we’ve gone over an hour which we usually try to stay around an hour but it’s been more than a pleasure no no no it’s not your fault we’re gonna there’s so many things i know i can i still have a bag of tacos like another hour or so we’re just gonna do this again and again and as soon you have to let me know as soon as you guys are back up and going because we’re going to get married man i’m getting my huhu and my face i’m doing it all yeah well if you guys could do me a favor because i know you have a big following ask your folks like what are women’s issues that you really want to hear about because i will delve into that world you know i want to give some good information and i want to see you know like i have like our little our crowd you know and i’m starting to get some feedback because what i think is different you know i know what’s out there now and so just throw it out there like because we can talk about anything you know absolutely anything yeah i love that they just throw it out there what do you want to hear about you know yeah well you guys why don’t you upset that what were you gonna say oh i was gonna say why don’t you tell everybody how to find you yeah so you can look at our website we of course picked the worst name on the planet um pacific coast aesthetics and i don’t even see above my head is our little sign um aesthetics is a-e-s-t-h-e-t-i-c-s got it not the typical way yeah um but if you go on our website we have like all our information what we’re about we have video on the halo like you watch a patient being treated and how she’s feeling she’s not screaming and we actually do things also a little differently we have pronouns the nitrous that you use in labor and delivery nitrous is awesome it’s very like you can drive yourself it’s in and out quick but i tell you it’s a world of difference um and we do a couple other things a little differently for patient comfort so if you look at that um that’s probably your best bet you know if you want to make an appointment you know right now i’m in the office just doing like i’m actually doing a few medical grade treatments um you know not at this point doing um injectable sort of things until they clear us for that but we’ll return your phone call i’m doing video consults with people so if they want to do a consultation from the safety of their home we can do that get everything set up so once we’re cleared to go we we can get them in so awesome yeah fantastic thank you so much for jumping on yeah like last minute i literally i like met her and i was like would you like to be on my podcast i know she instantly likes you so awesome oh thank you you guys are awesome thank you and we’ll talk to you soon yeah for sure all right okay i see it that’s like the awkward part where you sit here and like you’re both trying to hang up all right guys we’re all done we’re all done i gotta pee yeah well that was a lot of information that was a lot of information and i think it was it was great she was so fantastic i know she’s very cool yeah you guys so check her out and uh again april umek is that you say um sorry umek um remember to rate review subscribe five star rating five star warning and we’ll talk to you guys next week bye