Ready to rebel against bad advice about aging gracefully? Board-certified family physician Dr. Rachael Degurse is pulling back the curtain on the med spa industry – and some of what she reveals might surprise you.
After corporate healthcare stripped away her ability to truly care for patients, Dr. Rachael opened Pearl Skin Body in Colorado Springs, where she combines internal wellness with external rejuvenation. This isn’t your typical “get Botox everywhere” conversation – it’s an honest breakdown of what works, what doesn’t, and where you should never get filler.
Prefer reading? Get the episode transcript here:
What You’ll Discover
✅ The med spa wild west – why your state’s regulations (or lack thereof) could put you at risk
✅ Where filler should NEVER go – the common mistake that won’t fix your problem
✅ The one treatment that “rolls back the clock 10 years” – Dr. Rachael’s go-to for maximum results
✅ Why some people get “pillowy” faces from fillers – and how to avoid becoming one of them
✅ Red flags to watch for when choosing a med spa – what to look for beyond pretty websites
✅ The truth about Botox crossing the blood-brain barrier – should you be concerned?
✅ Testosterone for women since the 1920s – why this isn’t just for men
Dr. Rachael on the med spa industry:
“Med spa world is like the wild west… A medical director technically doesn’t even need to be in the same state when they’re supervising a med spa. I, in Colorado, could legally supervise a med spa in Alaska, and that would be totally okay.”
On filler placement mistakes:
“That in between the eyebrows, that area is actually not an ideal location for filler because filler is specifically for volume loss… those wrinkles in between your eyes are usually from facial expression.”
Greg on finding the right provider:
“If they don’t have a picture of somebody that is my age, like I don’t wanna see a 30-year-old before and after of Botox. I wanna see a 65-year-old.”
Dr. Rachael on taking control of your care:
“Nobody should have to feel like a number. So if you’re not getting the answers that you feel like you deserve, then meet with somebody else. There’s nothing wrong with that.”
Who This Episode Is Perfect For
✓ Rebels considering their first med spa treatment but are overwhelmed by options
✓ Anyone who’s been told their aging concerns are “just normal”
✓ People wanting to understand the difference between volume loss and expression lines
✓ Those seeking a physician who takes a holistic approach to aging
✓ Anyone curious about combining hormone therapy with aesthetic treatments
The Rebellious Truth About Aging Treatments
While the beauty industry wants you to believe more is always better, Dr. Rachael reveals a different approach. The most effective anti-aging strategy isn’t about filling every line or freezing every muscle – it’s about understanding what’s actually causing your specific concerns.
The game-changer insight: Most people are treating expression lines (caused by muscle movement) with volume fillers when they should be using neuromodulators like Botox. Meanwhile, actual volume loss in the midface gets ignored.
Dr. Rachael’s “Bang for Your Buck” Recommendation
For maximum anti-aging results without surgery: Radiofrequency microneedling (Morpheus)
This treatment addresses multiple concerns at once:
- Skin texture and fine lines
- Mild skin tightening
- Collagen restoration
- Can even puncture fat cells for facial contouring
The reality check: Two days of social downtime, but Dr. Rachael offers multiple pain management options, including nitrous oxide and facial nerve blocks.
Red Flags When Choosing a Med Spa
Before you book anything, ask:
- Who will actually perform your treatment? If they can’t tell you or show pictures of real staff, walk away.
- Is there a physician on-site? A medical director in another state can’t help if you have complications.
- What are the provider’s actual credentials? Not all injectors are created equal.
- Do they listen to YOUR goals? If they’re pushing treatments you don’t want, find someone else.
Take Action Like a Rebel
Start with the basics that deliver results:
- Daily sunscreen (including hands and chest!)
- Retinol (build up tolerance slowly)
- Find a provider who spends time understanding YOUR goals
Before any treatment:
- Research your state’s med spa regulations
- Meet the person who will treat you
- Ask about pain management options
- Start conservatively – you can always add more
Remember: It’s easier to add more filler than remove it, and you should always feel like yourself – just a really great version.
The Bottom Line
The most rebellious thing you can do in the med spa world is refuse to accept one-size-fits-all approaches to aging. Your face is unique, your concerns are specific, and your treatment plan should reflect that.
Don’t settle for providers who won’t listen, treatments that don’t address your actual concerns, or explanations that don’t make sense.
Keep questioning, keep exploring, and remember: You deserve to age on your own terms.
Stay rebellious,
Greg
Connect with Dr. Rachael Degurse
Ready to explore med spa treatments in the Colorado Springs area? Check out Dr. Rachael at pearlskinbody.com – and tell me about your experience! I want to hear what works for you.
Keep the Rebellion Going
Sometimes, the most rebellious thing we can do is refuse to accept limitations that don’t actually have to exist. Your future self will thank you for not settling for conventional wisdom that caps your potential.
What limitation are you ready to rebel against? Drop a comment and let me know – I want to hear about it!
Want to share your health transformation story? I want to hear about it! Connect with me on social media and let’s celebrate your rebellious wellness wins.
This episode is part of the Rebellious Wellness Lifestyle movement – challenging conventional wisdom and empowering you to question limitations that don’t actually have to exist.
Ready for more paradigm-shifting conversations? Subscribe wherever you get your podcasts and join our community of rebels who refuse to settle for conventional limitations.
Stay rebellious, and I’ll be back next week with another fascinating guest who’s challenging the status quo in aging well!
And if you like this kind of information, check out my past episodes at RebelliousWellnessOver50.com/podcast
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Disclaimer: This podcast is for informational purposes only and is not intended as medical advice. Always consult with your healthcare provider before making changes to your treatment plan.