In this episode of Inside Out Med, hosts Jay Feinberg from Refresh Palm beach Aesthetics and Chris Senger from XS MedSpa discuss recent developments in the medical spa space, including the closure of Ideal Image locations. Ideal Image bankrupted their Canadian companies in 2023, started closure of the Canadian ones that year, and is now selling off all of the United States locations. Their Tampa headquarters is officially closing down, and they filed an employment act, also known as a Warren Act, which requires certain employers to give notice before you just close down HQ.

This episode of Inside Out Med dives into popular aesthetic treatments, starting with a critique of the launch and positioning of the neuromodulator Daxifi. The discussion then moves to compare various botulinum toxin type A treatments, including Botox, Disport, Zemin, and Juvo, and clarifies the differences between neuromodulators (which paralyze the muscle) and dermal fillers (which replace lost volume). The hosts also address the risks associated with the rise of online GLP-1 weight loss programs, emphasizing the importance of proper medical oversight, follow-up testing, and understanding potential side effects like nausea, constipation, and pancreatitis. Finally, the episode includes a strong warning against using unproven, at-home laser hair removal and other aesthetic devices, contrasting them with professional treatments like those using the Candela Gentle Max Pro. The speakers conclude by briefly touching on other procedures like the Emsculpt Neo, CoolSculpting, and the challenges of regulating counterfeit medical devices.

In this episode of Inside Out Med, hosts Jay Feinberg from Refresh Palm beach Aesthetics and Chris Senger from XS MedSpa discuss the growing interest in hyperbaric oxygen treatments (HBOT) in wellness clinics, noting that its progression is slow despite substantial benefits. They cover the applications of HBOT for anti-aging, general wellness, and medical conditions, contrasting soft chambers with hard chambers that can reach pressures of 2 or 3 atmospheres. The discussion touches on the importance of prescribed treatment protocols, which usually range from 20 to 40 hours, and the risks, such as oxygen toxicity, which is uncommon but possible at two or more atmospheres over a long period. The speakers also address the difficulty of setting up a hyperbaric facility due to high investment costs and the required education for safely bringing a patient to and from pressure. The conversation expands to cover anti-aging protocols, including hormone replacement therapy (HRT) and injectable nutritional supplementation, and the risks associated with the unregulated supplement and compounding pharmacy markets.

In this episode, hosts Jay Feinberg from Refresh Palm beach Aesthetics and Chris Senger from XS MedSpa talk procedures, and new developments in the medical spa and cosmetic industry. They discuss the confusion surrounding AI in medicine and the rise of people who "think they're a doctor."

In this episode, Jay Feinberg sits down with Dr. Chris Senger for an in-depth conversation on GLP-1 weight loss medications and the current state of the aesthetics and wellness industry.

They break down how GLP-1 medications actually work, who they are and are not appropriate for, and the risks of misuse through online and telehealth prescribing. The discussion also covers common side effects, proper medical oversight, and the misinformation surrounding these treatments.

The conversation expands into aesthetics, including Botox, neuromodulators, skin laxity, Ozempic face, non-surgical skin tightening, and why procedures like Softwave are gaining attention. Jay and Dr. Senger also address social media influence, unrealistic before-and-after results, and the importance of choosing qualified providers.

This episode is an honest, educational look at weight loss, wellness, and aesthetics, focused on patient safety, realistic expectations, and responsible medical care.

Hosts Jay Feinberg and Chris Senger break down the rapid rise of IV hydration clinics, mobile injectors, and Botox parties across Florida. In this clip, they call out exaggerated medical claims, lack of regulation, unlicensed providers, and the growing risk to patient safety when profit comes before proper oversight. The conversation highlights why esthetic and wellness treatments are far more complex than they appear online and why patient education and accountability matter more than ever.

Join Dr. Christopher Singer, practicing physician and medical director of XS Med Spa, and Jay Feinberg, CEO of Refresh Palm Beach Medical Aesthetics, as they break down the current state of the aesthetic and wellness industry from both the provider and patient perspective.

This episode takes an honest look at Florida’s increasingly competitive and, at times, questionable medical spa landscape. With some practices filing for Chapter 11 and others racing to the bottom on price, Chris and Jay unpack what is really going wrong and what both providers and patients need to watch out for.

They dive into the dangers of treating aesthetic procedures like products instead of services, the rise of inexperienced providers and absentee medical directors who exist only to meet legal requirements, and why many practices are struggling with long-term patient retention. The conversation also covers the misuse of platforms like Groupon, which should be a short-term way to showcase experience, not a business model.

Other key topics include the rapid growth of largely unregulated telehealth clinics, social media misinformation and exaggerated claims around treatments like peptides and NAD drips, and the importance of patient education, proper oversight, and FDA-approved devices. The episode closes with practical advice for patients on researching providers, understanding risks, and using free tools like MQA to verify licensure and disciplinary history.

If you want a straight, unfiltered look at where the industry is headed and how to navigate it safely and ethically, this is a must-listen.