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
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Check latest episodes from Med Spa Confidential - Exposing the Risks, Rewards, and Business of Beauty podcast
What Could Be Inside 11,000 FAKE Ozempic Pens? (Doctor Explains) | EP 121
2026/10/14
Is Your MedSpa Certified? Check HERE → https://medspaboard.com
Would you know if the Ozempic pen in your fridge was fake?
On September 29, the Justice Department announced charges against two men accused of smuggling counterfeit Ozempic from China and selling it to U.S. drug distributors at a discount. Prosecutors say one delivery alone, about 11,000 units, went to a single warehouse in Ohio.
The fakes came with counterfeit cartons, labels, inserts, and even needles. Both men are presumed innocent, and an indictment is only an allegation. But one detail stopped Dr. Kate Dee cold. The FDA warned the whole country about these fakes in December 2023, and prosecutors say the scheme kept going for months.
Here’s the scariest part. Nobody knows what was inside those pens. A counterfeit could hold a completely different drug. One fake pen bought at a U.S. pharmacy did exactly that, and the drug inside can crash your blood sugar hard enough to put you in a coma or kill you. Dr. Dee reveals what it was, along with a near-fatal story you need to hear.
So she went looking for where those pens ended up. The answer isn’t the one she wanted. It points to the place most of us trust without a second thought.
Dr. Kate Dee walks you through brand-name vs. compounded vs. counterfeit, the warning signs that mean you call 911 right away, and the legal gray area she put straight to the FDA.
Stay to the end for her five-point checklist. It’s simple, and it could keep a dangerous pen out of your body.
Press play and learn what to check before the needle goes in.
Find the FDA Statement and Serial Numbers: HERE
Find or Get Your Medspa Certified: https://medspaboard.com/
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Why You’re OVERPAYING for Med Spa Lasers | Laser Rep Explains ft. Jason Peters, Aesthetic Negotiators | EP 120
2026/10/07
Find or Get Your Medspa Certified: https://medspaboard.com/
Before your next laser treatment, do you know what your provider was told when they bought the machine?
Dr. Kate Dee sits down with Jason Peters who sold aesthetic lasers for 13 years. He tells us why he was "the bad guy," the sales rep in your medspa’s office. Now he runs Aesthetic Negotiators, and he's laying out the tactics he used. One of his customers bought a facial device for about $50,000. Over a five-year loan, she paid $92,000.
Here's why that matters. What an owner pays for a device affects what you pay for the treatment. And an owner carrying that kind of debt can feel pressure to sell it, whether it works or not.
Dr. Dee has bought these devices and laughed at more than one rep's sales spreadsheet. Jason gets into pressure tactics, loans with hidden fees, one CO2 laser he says 15 US distributors sell under different names, and devices that aren't FDA approved or cleared. They don't agree on everything and you’ll hear which laser Dr. Kate Dee won't buy.
Chapters:
06:04 - Pressure Tactics Reps Use to Close a Sale
09:42 - Why Debt Pushes Med Spas to Oversell
13:37 - When Hype Outruns the Science
17:46 - The Fee Hiding in the Fine Print
24:40 - The Loan That Nearly Doubled a Device's Cost
32:12 - Imported Devices and the FDA Question
37:38 - One Laser Sold Under 15 Names
44:57 - Why the Person Holding the Device Matters Most
50:53 - The Device Dr. Dee Refuses to Buy
57:46 - Three Phone Calls to Make Before You Sign
If you have a treatment booked or a quote on your desk, listen before you say yes. Owners get clear steps to take before signing. Patients see what's behind the price and the pitch.
Stay until the end to hear what happened when a rep gave Dr. Dee three doctors to call about her first device.
Press play and learn how laser sales work before you book or sign.
Connect with Jason at Aesthetic Negotiators: https://ads.aestheticnegotiators.com/
Find or Get Your Medspa Certified: https://medspaboard.com/
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Filler Sales Are CRASHING: 3 Reasons Why (Doctor Explains) | EP 119
2026/09/30
Find or Get Your Medspa Certified: https://medspaboard.com/
Why is the beauty industry suddenly begging you to stop saying the word "filler"?
Filler sales in America are sliding fast. The Wall Street Journal has a name for it: the Great Deflate. Juvederm just lost its billion-dollar status, while spending on facelifts and nose jobs keeps climbing. So what's really happening behind the syringe?
Dr. Kate Dee has been warning about overstuffed faces for years. Now the numbers are backing her up. She breaks down three forces colliding at once, including the one she says you really need to know before considering filler.
You'll hear why more people need volume than ever but fewer want it injected, and why celebrities and creators are going public about the pain of dissolving old filler. Plus, one injectable company launched a campaign to rename its own product. What does that tell you?
Stay until the end, Dr. Dee also runs filler through her safety, effectiveness, and reasonableness test. She covers what dissolving may not fully erase, the complication every patient deserves to hear about, and the real price and permanence of the trendy alternative.
Press play and learn why a new name won't make filler any safer.
Find or Get Your Medspa Certified: https://medspaboard.com/
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Exosomes, Stem Cells & IVs: The Industry's Biggest Hype ft. Dr. Kristin Jacobs | EP 118
2026/09/23
Find or Get Your Medspa Certified: https://medspaboard.com/
He flew to Seattle for a stem cell treatment that promised hope where medicine had few answers. He died after the procedure, and his family later won $24 million in a wrongful death lawsuit.
Host Dr. Kate Dee, founder of Glo MediSpa, sits down with Dr. Kristin Jacobs, founder of OohLaLa Spa and the newest certified member of the MedSpa Board, to take on some of the most overhyped treatments in aesthetics.
Exosomes come up first. Everyone is selling them, but many people selling them cannot explain what they actually are. Dr. Dee walks through why processing and instability may leave some products without the intact exosomes patients think they are paying for.
Then there is IV therapy, which sounds harmless until Dr. Dee discusses a recent New York case involving a practitioner she says had no medical license in the state and a patient who died after receiving NAD. It raises a bigger question the episode keeps returning to: who is actually qualified to provide these treatments?
Handheld LED devices get the same treatment. So do facials, and Dr. Dee admits she has a soft spot for those even while questioning how necessary they really are.
If you have ever paid for a treatment because it sounded impressive rather than because someone showed you the evidence, this episode is for you.
It gives you a better way to judge whether a treatment has real science behind it, whether you actually need it, and whether the person selling it should be providing it in the first place.
Chapters:
00:03:16 - The Aesthetic Treatments That Sound Better Than They Work
00:08:52 - What Your Exosome Treatment May Actually Contain
00:12:40 - The $2,000 Add-On That May Not Be Worth It
00:14:41 - When Cutting-Edge Medicine Crosses the Line
00:17:30 - The Med Spa Claims That Should Make You Pause
00:20:50 - Is Your Treatment Plan Built Around You or Revenue?
00:22:26 - The Wellness Trend Doctors Are Questioning
00:23:54 - What Happened After an NAD IV Went Wrong
00:28:22 - The At-Home Skin Device Most People Use Wrong
00:33:10 - What You’re Really Paying for With a Facial
00:36:17 - The Hormone Treatment Costing Patients Extra for Nothing
Stay for the end. Dr. Jacobs calls her compounded hormone treatment life changing. Dr. Dee agrees about the power of hormone therapy, but questions whether the expensive compounded version is actually necessary.
Press play and learn which treatments may be worth the money, which ones deserve more scrutiny, and which ones could leave you with nothing more than really expensive urine.
Connect with Dr. Kristin Jacobs: https://kristenjacobs.com/
Find or Get Your Medspa Certified: https://medspaboard.com/
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Inside a DEADLY NAD + Infusion (Doctor Explains) | EP 117
2026/09/16
Find or Get Your Medspa Certified: https://medspaboard.com/
A 27-year-old woman walked into a wellness clinic for a routine infusion. She never walked out.
Dr. Kate Dee is sharing details of the most disturbing cases she's covered: a fatal NAD infusion administered by a man with no license to practice medicine anywhere in the state. He claimed credentials from two other countries. None of them counted where it mattered. He's now facing charges, but the damage is already done, and this isn't an isolated incident.
Dr. Dee breaks down what NAD actually is, what it's supposed to do inside your cells, and why pumping it straight into your bloodstream is a waste of money. Once you hear the science, you'll understand why an entire wellness trend built around this treatment might be sitting on a foundation of nothing.
She also gets into the FDA's most serious level of warning about NAD's supply chain, why even AI gets the science wrong when you ask it, and where IV therapy actually belongs in medicine versus where it's just an expensive risk dressed up as self-care.
If you've ever booked an IV drip, or you're a provider offering one right now, this episode could change your mind before something goes wrong.
Press play and learn why one of wellness's most popular trends could be the most dangerous thing in the room.
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Med Spa Crackdown: Why States Are Finally Enforcing the Rules ft. Attorney Brett Elliott | EP 116
2026/09/09
Find or Get Your Medspa Certified: https://medspaboard.com/
A woman walked into a med spa for a routine Botox appointment and never walked out, and the person who was supposed to be supervising her care wasn't even in the building.
That's not a rare horror story. It's happening across the country right now, and Dr. Kate Dee wants you to understand exactly why before you book your next appointment.
In this episode, she sits down with Seattle healthcare attorney Brett Elliott to unpack the wave of new med spa laws sweeping through states like Indiana, Georgia, Oklahoma, and Illinois.
They dig into a disturbing loophole called the "ghost medical director," where a licensed physician signs a contract, collects a fee, and never actually sees a single patient.
You'll also hear how an FDA raid on a Texas med spa uncovered an unmarked vial of Botox in a dumpster, tied to a chain of suspiciously cheap Groupon deals. And in New York, a recent sweep of over 300 med spas found multiple violations including one where investigators found fentanyl on site.
Brett brings the legal expertise to explain what these law changes actually mean for you. Together, they hand you the exact questions to ask before you sit down in that chair, so you're never the patient who finds out the hard way.
Chapters:
02:23 - States Are Closing Med Spa Loopholes
03:29 - Indiana’s New Med Spa Rules
05:43 - Why Botox Parties Can Be Risky
07:38 - Surprise Inspections Are Changing Everything
09:25 - The Problem With Ghost Medical Directors
14:37 - How Standing Orders Get Abused
18:09 - Why Routine IVs Deserve More Scrutiny
19:44 - What Actually Counts as Medicine
22:38 - The FDA Raid That Shut Down a Med Spa
27:22 - The Fight Over Compounded GLP-1s
35:36 - What New York Found Inside 300+ Med Spas
Stay until the end, because the story about what happened in New York will change how you look at that med spa on the corner.
Press play and learn how to spot a fake medical director before it costs you your safety.
Brett Elliott: https://www.hklaw.com/en/professionals/e/elliott-brett?
Find or Get Your Medspa Certified: https://medspaboard.com/
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
I Secretly Shopped a Med Spa: They REFUSED to Answer This Question | EP 115
2026/09/03
Find or Get Your Medspa Certified: https://medspaboard.com/
She asked one question. "Are you a nurse?" The woman holding the microneedling pen didn't answer.
A consumer took a Groupon deal, got the treatment, and got pitched on Botox while she was still in the chair. The whole thing sat wrong with her. So she went looking for someone who could tell her whether the place was even legal, found the Med Spa Board, and sent an email.
Dr. Kate Dee opened it and started digging.
You get the investigation in the order she ran it. The website with two names and no credentials next to either one. The reviews, and the pattern in them that should have been the first warning. The state license lookup, which takes about four minutes and anyone can do it from a phone.
Then the call to the woman named as medical director on that website. She picked up. Wait until you hear what she said about her name being on there.
And then Dr. Dee called the spa herself, as a customer, asking the same things you'd ask. What came back wasn't a phone call. It was one line, and it confirmed everything she suspected.
This place has been open for more than four years.
If you've ever booked a treatment because the price felt like a steal, you'll find out what that price was actually buying you. And if you're an injector or an owner who knows you're not fully compliant, stay to the end. Dr. Dee tells you exactly where to start.
Press play and learn how to check any med spa yourself before you ever sit in that chair.
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
The Wellness Trends Doctors Say Are a Waste of Money ft. Dr. Stephanie Rogers, Geriatrician 114
2026/08/26
Find or Get Your Medspa Certified: https://medspaboard.com/
What if up to half of all dementia cases could be prevented, and the two things that matter most in midlife are things almost nobody checks?
Host Dr. Kate Dee sits down with Dr. Stephanie Rogers, a board-certified internist and geriatrician who teaches medicine at UCSF, to talk about what the research actually says about protecting your brain.
If you've assumed dementia is all genetics, or that prevention starts at 70, this changes the timeline. The window is open right now, in your 30s, 40s, and 50s.
Dr. Rogers walks through the big international review that identified 14 factors with real evidence behind them, and she names the two midlife factors with the strongest link of all. Most people are in denial about both.
She also takes on the social media myth about statins, explains where GLP-1 research really stands right now, and shares why the brain game apps you've been faithfully doing every morning may not be doing what you hoped.
Chapters:
00:02:30 - How Much Dementia Is Preventable
00:03:35 - Why Midlife Matters Most
00:04:35 - The Hearing Loss Connection
00:05:57 - Cholesterol and Brain Health
00:08:00 - GLP-1s and Dementia Risk
00:13:53 - The Habits That Matter Most
00:17:59 - Alcohol, Aging, and the Brain
00:21:47 - Aging Well Beyond Aesthetics
00:23:00 - The Power of Social Connection
00:26:49 - Protecting Hearing and Vision
00:28:30 - Brain Games, Creatine, and Sleep
00:36:39 - The Dementia Prevention Checklist
Together they get into sleep trackers, supplements, your nightly glass of wine, and the one habit that turns out to be about as protective as exercise, and that hardly anyone talks about.
Stay to the end. Dr. Rogers turns all 14 factors into a short list of things to ask your doctor for at your next physical.
Press play and learn what you can still control while it's early enough to matter.
Dr. Stephanie Rogers IG: https://www.instagram.com/agewellwithdrsteph/?hl=en
Dr. Stephanie Rogers Substack: https://substack.com/@agewellwithdrsteph
Find or Get Your Medspa Certified: https://medspaboard.com/
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
When I Say NO to Teen Laser Hair Removal (Doctor Explains) | EP 113
2026/08/19
Find or Get Your Medspa Certified: https://medspaboard.com/
Who is really asking for that laser treatment, the teenager sitting in the chair or the parent standing behind her?
Dr. Kate Dee says the answer changes everything. And it is often not the answer the family walks in expecting.
Dr. Dee opens up her own consult room and walks you through one of the most uncomfortable conversations in aesthetics: when a minor is brought in for permanent hair removal.
She has treated teens. She has also turned families away at the door. Skin type and hair color decide whether the treatment can work. Something else entirely decides whether it should happen at all.
You'll hear the red flag that makes her stop a consult, why she personally takes the blame for saying no instead of letting her nurse practitioner or PA carry it, and why she believes this call can never sit with an esthetician.
If you're a parent weighing this for your kid, you'll understand what a careful clinic actually digs into before anyone books. If you own or work in a med spa, you'll get a clear line for where consent gets complicated with a minor and how to handle it without losing the family.
Stay to the end, because Dr. Dee settles whether "permanent" really means permanent, and why that word carries more weight at 17 than it does at 30.
Press play and learn the one red flag that should stop a teen consult before the laser ever turns on.
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Is Your "Natural" Look Actually Aesthetic DRIFTING? (Surgeon Explains) ft. Dr. Scott Miller | EP 112
2026/08/12
Find or Get Your Medspa Certified: https://medspaboard.com/
Why does overdone always look normal to the person it happened to?
Host Dr. Kate Dee sits down with Dr. Scott Miller, a board-certified plastic surgeon in San Diego who has spent his career fighting for one thing: results that look natural instead of overdone.
The two of them get honest about how your sense of normal quietly drifts until you cannot see it anymore, why one of the newest filler trends is leaving people with strange bulges they never asked for, and how a brand new cadaver fat product just landed in the middle of a regulatory fight in New York.
You will hear how to read a provider's website and staff before you ever book, why two careful doctors refuse to chase every shiny new procedure, and what really separates a skilled injector from what Dr. Miller flatly calls the jerk at the end of the needle.
Chapters:
00:02:30 - When Your Idea of Natural Starts to Drift
00:06:00 - When Non-Invasive Treatments Make Sense
00:10:41 - Can Treatments Affect a Future Facelift?
00:13:42 - The Sculptra Debate
00:20:06 - When Filler Goes Too Far
00:24:14 - Is Fat Grafting Really Better?
00:28:00 - The Problem With the Latest New Treatment
00:31:42 - Why Cutting-Edge Can Become Fool’s Gold
00:33:12 - How Social Media Distorts Aesthetic Results
00:38:23 - The Deep Plane Facelift Myth
00:42:17 - What Should You Do Starting at 45?
00:46:06 - Finding the Goldilocks Result
If you have ever felt pushed toward the latest thing, or worried you are sliding toward a face you never wanted, this conversation gives you a way to stop and choose smart. It is straight talk for anyone getting work done, and a wake up call for anyone doing the work.
Press play and learn how to spot the latest thing from the greatest thing before you pay for it.
Dr. Scott Miller’s Website: https://www.millercosmeticsurgery.com/
Dr. Miller’s Book: Authentic Beauty: Defining a New Standard for Care and Results in Plastic Surgery
Dr. Miller’s LinkedIn: https://www.linkedin.com/in/scottrmillermdfacs/
Dr. Miller’s Instagram: https://www.instagram.com/millercosmeticsurgery/
Find or Get Your Medspa Certified: https://medspaboard.com/
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Why I Say NO to Body Skin Tightening (Doctor Explains) | EP 111
2026/08/05
Find or Get Your Medspa Certified: https://medspaboard.com/
What if the body-tightening treatment being sold to you produces results so subtle that you barely notice them?
In part four of her Why I Say No series, Dr. Dee takes on one of her biggest industry pet peeves: body skin tightening.
Body skin tightening is often marketed as a nonsurgical way to create a tighter stomach, firmer arms, or smoother thighs. But before you spend money on a treatment package, Dr. Kate Dee wants you to understand what these devices can and cannot realistically accomplish.
You will learn why the smoother skin you see immediately after some treatments may be temporary swelling rather than genuine tightening. Dr. Dee explains how heat-based devices stimulate collagen, why she considers one heavily marketed device overhyped, and which treatment method she prefers for the right areas.
But there is an important catch. A treatment that creates a noticeable improvement on the face or neck may produce a disappointing result on the abdomen, arms, or thighs.
Dr. Dee explains why body skin behaves differently, who might see a modest improvement, and why even a technically successful treatment may still leave most patients wondering whether it was worth the money.
If you have loose skin after pregnancy, weight loss, GLP-1 use, or aging, listen before purchasing a body-tightening package
Press play to learn where skin tightening can deliver, where it usually falls short, and why an ethical provider should sometimes talk you out of treatment.
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
My Real MedSpa Consult From Start to Finish | EP 110
2026/07/29
Find or Get Your Medspa Certified: https://medspaboard.com/
Ever look at a famous face and think, "What happened?"
It's usually not aging. It's the wrong treatment, done in the wrong spot, for the wrong reason.
In this episode, Dr. Kate Dee does something she's never done before. A live, unrehearsed consult with her girlfriend Deb, 51 and completely cold.
You'll find out the three big things that quietly start changing your skin, some as early as your 20s, and why most people don't notice until it's staring back at them in the mirror. Dr. Dee breaks down what actually works, what's a waste of your money, and which popular treatment she flat-out refuses to do in one risky area of the face because she's seen too much go wrong with it.
If you've ever booked something and just hoped for the best, this is the roadmap you wish you'd had first. Whether you're a provider trying to raise your standards or someone who just wants to age well without looking "done," you'll walk away knowing what to ask before you say yes.
Chapters:
00:05:18 - The First Place Aging Usually Shows
00:06:53 - When Filler Creates Pillow Face
00:08:00 - The Two Essentials Every Client Needs
00:09:30 -The Easy Fixes Patients Overlook
00:11:50 - Why Sunspots Keep Coming Back
00:13:27 - The Hidden Risks of Under-Eye Filler
00:18:00 - Which Skin Treatment Actually Does What
00:21:30 - When RF Microneedling Makes Sense
00:27:05 - Rebuilding Volume Without Looking Overfilled
00:28:50 - Where Botox Requires Real Expertise
00:34:00 - When Med Spa Wellness Crosses the Line
00:37:50 - Does Drinking Collagen Actually Work
00:40:23 - Is It Ever Too Late to Start
There's one under-eye procedure people keep paying for that can end up somewhere it should never be. You'll want to hear where.
Press play and learn what your injector may never tell you before they pick up the syringe.
Find or Get Your Medspa Certified: https://medspaboard.com/
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Med Spa Scope of Practice: Who Can Legally Inject You? | The Legal NP, Jamie Weiland | EP 109
2026/07/22
Find or Get Your Medspa Certified: https://medspaboard.com/
What if the person who approved your injection never actually saw your face?
The truth is, they may have never been in the room with you at all. All it takes is a few minutes on a video call, a quick signature, and suddenly there's a needle full of something you can't see going into your body.
This is happening right now in med spas across the country, and most people have no idea it's the only exam standing between them and serious harm.
Host Dr. Kate Dee sits down with Jamie Weiland, known online as The Legal NP, who spends her days reviewing the cases that end careers and leave patients disfigured. Dr. Dee brings her own perspective as a physician and med spa founder who has watched this industry cut corners from the inside.
Together they expose who's really allowed to touch your face, and who's gambling with your safety to make a quick buck.
You'll learn why the consent form you signed may protect nobody. You'll discover the dangerous gap between a skill someone picked up in a weekend and the knowledge that actually keeps you alive. You'll hear how a routine treatment can turn into a disaster in seconds.
Chapters:
00:03:05 - What an RN Cannot Decide
00:06:05 - The Exam Before the Injection
00:09:46 - The Five-Minute Approval Problem
00:11:29 - The Case That Changed Nursing
00:16:45 - Pressure to Work Outside Your License
00:18:29 - When a Medical Error Becomes Criminal
00:27:28 - A Weekend Course Is Not Enough
00:29:24 - Skill Without Knowledge Gets Dangerous
00:32:30 - The Condition Your Injector Might Miss
00:39:39 - The Filler Emergency Most Clinics Cannot Handle
00:41:38 - Who Handles the Complication
00:43:46 - The Consent Form That Proves Nothing
00:49:30 - Fake Botox Can Put You on a Ventilator
Stay until the end, when they get into the doctor now facing murder charges over a patient he never even met.
Press play and learn what's really going into your body before you say yes.
Connect with Jamie: HERE
Find or Get Your Medspa Certified: https://medspaboard.com/
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Why I Say No to Filler: 5 Areas I Refuse to Inject (Doctor Explains) | EP 108
2026/07/15
Find or Get Your Medspa Certified: https://medspaboard.com/
What if the treatment you have been asking for is the one your injector should be talking you out of?
Dr. Kate Dee believes filler can produce excellent results when it is used for the right patient, in the right area, for the right reason. But she has also seen it used to treat problems it was never designed to fix.
In the second installment of her “Why I Say No” series, Dr. Dee explains where she still uses dermal filler, where she usually refuses to inject it, and why she has no filler in her own face.
Her biggest concern is when filler accidentally enters or compresses a blood vessel and blocks blood flow. Although it is uncommon, it can cause tissue damage or necrosis, and many clinics may not be properly equipped to recognize and treat it.
In this episode:
The areas of your face where Dr. Kate Dee says filler is never worth the riskWhy "pillow face" happens, and what's really going wrong underneathThe safer alternative her office switched to years agoThe one question that tells you if your injector is ready for an emergencyThe look she'll refuse to give you, no matter how much you askDr. Dee shares where she still uses filler when the goal is to restore volume that has genuinely been lost. But when skin laxity, movement, or another issue is causing the concern, she believes a different treatment may be safer and more effective.
For patients, this episode explains what to ask before agreeing to filler and why your injector should be prepared to say no. For providers, it is a clear example of clinical judgment putting patient safety ahead of making a sale.
Listen before booking your next syringe and learn which areas Dr. Dee believes they are worth treating and which ones are not worth the risk.
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Peptide Injections: When It Crosses Into a Felony (Doctors Explain) ft. Dr. Flora Waples | EP 107
2026/07/08
Find or Get Your Medspa Certified: https://medspaboard.com/
What if the injectable everyone's raving about is not what's actually in the bottle?
From BPC-157 for healing, growth hormone secretagogues for muscle, bone, sleep, and skin, to tanning peptides that can turn pale skin dark in a matter of weeks.
Host Dr. Kate Dee sits down with Dr. Flora Waples, a Colorado physician who's studied peptides more closely than almost anyone willing to talk about them plainly. Together they walk through the most popular ones: what the science actually shows, what's still mostly theory, and which peptides Dr. Waples won't prescribe, no matter who's asking.
Your feed is full of people swearing these tiny compounds changed their lives. What most of them aren't saying is where the vial came from. A lot of people self-injecting peptides are buying them from gray-market sources, often overseas, with no reliable proof of what's actually inside.
Then it gets complicated. The FDA restricted many of these peptides in 2023, and an advisory meeting set for July 2026 could shift how compounding pharmacies handle some of them.
You'll find out what's actually legal to buy, when injecting someone crosses into practicing medicine without a license, and why one person in Seattle nearly died after ordering what they thought was Ozempic
Chapters:
00:01:30 - Why Peptides Are Everywhere
00:03:10 - What Peptides Actually Do
00:09:30 - Does BPC-157 Really Heal Faster
00:11:30 - The Long-Term Risk Nobody Knows
00:15:53 - Growth Hormone Peptides Explained
00:20:48 - TB500 and the Wolverine Stack
00:25:41 - Why Melanotan Raises Red Flags
00:28:08 - Selank, Semax, and Feeling Better
00:32:09 - How Illegal Are These Peptides
00:40:16 - The Supply Chain Problem
00:46:43 - What to Check Before Injecting
If you've thought about trying peptides, or you treat patients who have, this episode hands you the questions to ask before anyone picks up a needle. Because the real question isn't just whether a peptide works, but whether you can prove what's in the bottle.
Press play and find out which peptides might be worth it, and which ones could put you in the hospital.
Connect with Dr. Flora Waples: https://www.restormedicalspa.com/
Find or Get Your Medspa Certified: https://medspaboard.com/
Grab Your Copy of Medspa Mayhem the Book Today: HERE
Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.
Find a certified provider near you → MedspaBoard.com
Want the anti-aging essentials I actually use: Download my FREE Gift Guide
Follower Instagram: instagram.com/drkatedee
Please leave us a review on Apple Podcast: HERE
Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee
GLOW Medspa - Seattle, WA: https://glowspaseattle.com/
Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.
Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...
Podcast reviews
Read Med Spa Confidential - Exposing the Risks, Rewards, and Business of Beauty podcast reviews
4.4 out of 5
30 reviews
★★★★★
The only meh 2026/09/27
Estie Bestie!
Hey Dr. Dee! I love your podcast, such good topics and I agree with you mostly except as an RN and also an esthetician, I feel like facials are not ju...
★★★★★
BrandTallDeb 2026/05/12
Yes to the MedSpa Board & safer regulations to protect patients
Dr. Dee is clearly ruffling feathers that need to be exposed, hence some upset review trolls, likely illegal Medspa operators she’s exposed! Thankfull...
★☆☆☆☆
Advocate RN 2026/02/23
Misinforming the public
She criticized nurse practitioners and questioned their ability to practice to the full extent of their scope. Nurse practitioners are board certified...
★☆☆☆☆
Truse17 2026/02/23
Spreads misinformation about health care providers
Unfortunately Dr. Dee is spreading misinformation about the advanced practice nursing role. She should be doing her research before inaccurately discu...
★★☆☆☆
9halfpint 2026/02/20
Full practice authority nurse practitioner
The owners public platform is quite discouraging for many healthcare professional. Dr Des’s podcast, Med Spa confidential, often feels less like a gui...
★★★★★
Angela Casey MD 2025/10/23
Dermatologist-recommended!
As a physician, I really appreciate Dr. Dee’s focus on holistic wellness and prevention. Too often, educating and empowering patients is overlooked wi...
★★★★★
Skincare_fanatic-101 2025/05/07
Thank you!
Thank you for sharing this with the public!!! More people need to read this stuff and be informed before making such important decisions that they don...
★★★★★
VitaMarie4 2024/11/06
Dr. Dee is amazing!!!!
Sooooooo informative. This is what the med spa industry needs!