Dr. Sheila Barbarino On How To Look Younger Without Looking Overdone, What Actually Works & The Treatments To Avoid

**Lauryn Bosstick** (0:00)
I convinced my favorite injector in Austin to come on the show. What I like about Dr. Sheila Barbarino is she knows her shit when it comes to looking good. Dr. Barbarino, welcome to The Bossticks.

**Michael Bosstick** (0:18)
Welcome to The Bossticks.
Starring Lauryn Bosstick and Michael Bosstick. Together, they are The Bossticks.

**Lauryn Bosstick** (0:31)
What cosmetic treatment causes the most problems when it's done badly?

**Sheila Barbarino** (0:37)
There are so many. Where do I start?
Surgery is a hot mess express if it's done badly. I feel like overpulled, underpulled.
One thing that a patient really has to be clear and make sure that they see eye to eye with their surgeon is the end result. If they don't ever see eye to eye, you're never going to get the result you want. I've seen so many patients that are like, the only reason why I did a facelift is because I wanted to address my jowls. Then when the surgeon got in there and they didn't even touch the jowls, of course, you go through all the surgery and then of course, you're disappointed because then you have this recovery time and they didn't even really treat or even touch the part that really bothered you. If you go in and you're like, I want a facelift but it's really your eyes that are bothering you, it's part of the surgeon's job and the provider's job is to figure out what really bothers that person and what's going to be the best outcome. Because you guys didn't go to medical school, it's not your job to figure out what treatment. There's so many times that patients come in, they're like, I need Botox, I need this, I need that, I need this. But what they're really saying is, this is what bothers me and that's what you have to get to.

**Lauryn Bosstick** (1:45)
I think that what you're really good at that I've noticed is you're good at supporting the foundation of the face, and sometimes to your point, it's not the under eyes, it's maybe that they don't have enough support on their cheekbones. So when someone comes in to you and you say, tell me what you don't like, they'll tell you what they don't like, and then do you come back and do you say, actually, this is what's bothering you and walk them in a different direction?

**Sheila Barbarino** (2:10)
Well, like you said, the foundation is everything. So you have to set them up for success. So if it's like, oh, it's my tear trough that bothers me, oh, it's my under eyes, I look so tired all the time. If they don't have a good foundation to start with and frame the eye using the temples, the mid face, the lower face, it's never gonna look good, right? Because it has to have the support underneath versus just treating that one little area. Every time you treat one little area in aesthetic surgery, it's just, it's the wrong approach. You wanna really globally look at the patient and see what's missing, what would really be the most impactful and really make them look like the best version of them. That's what they want.

**Lauryn Bosstick** (2:52)
Speaking of missing, what is happening with ozempic face? Are you seeing that in your office? And how do you support that?

**Sheila Barbarino** (2:59)
I think everyone in the world is on ozempic, trisempitide, retrotrudeide, whether they admit it or not, right? And for whatever reason, whether it's, we're seeing so many wonderful side effects, right? You know, anti-L-timers, preventative cholesterol problems, like all of these wonderful side effects that we all could use, right? And what we do know is that overweight people have medical problems. They have diabetes, they have high blood pressure, they have high cholesterol. So I think it's a wonderful thing that we now have these drugs that can offer these people a better, healthier lifestyle with, you know, the genetics are fighting against us, right? So it's really tough. But what the downside is is that it really is leaving us hollow.
With rapid weight loss, you lose tissue, you lose facial fat, you lose muscle, all of these things that, you know, aesthetically don't look as great as they used to when you had that full face, that full fat face. So, you know, I think that slower is better, you know, slow and steady wins the race.
But I think if you do little treatments along the way as your weight loss journey is happening, then that's going to how you're ultimately going to look the best at the end when you get there. You know, a lot of patients are like, oh, you know, I just want to wait till I lose 40, 50, 60, 70 pounds and then I'll get a facelift. I don't think that's the way to go. Cause by then you look like a melted wax candle, right? And there's so much more to do. And then the skin texture tone and texture is not as good as it would have been if you bio-stimulated or added things along the way.