Dr. Andrew Dargie flies solo this week as co-host Tyler Brooker is off getting engaged (she said yes, y’all), welcoming Dr. Robert Dale—known industry-wide as "Handsome Rob"—to the botox COWBOYS studio for a conversation that covers everything from surgical career pivots to why that viral MRI of a "filler face" might not mean what you think it means.

Rob's trajectory from urology resident to sought-after cosmetic injector offers a model in following your hands where they want to go. Now the medical director at Vancouver's Vanity Lab and owner of Evergreen Medical Spa in White Rock, Rob recently earned top-three finalist honors at the AMWC Monaco Aesthetic Awards—and he credits his early training with Andrew as the launchpad that set him on the right path. The conversation digs into what actually separates injectors who thrive from those who flame out: athletic discipline, high-acuity medical backgrounds, and an almost obsessive commitment to continuous improvement.

The mythbusting segment tackles the anti-filler hysteria currently flooding social media. Rob and Andrew break down why hyaluronic acid isn't the villain TikTok makes it out to be, why those dramatic MRI images don't show what people claim they show, and why a bad cosmetic result almost always traces back to the person holding the syringe rather than the product in it. They also dismantle the "baby Botox" trend with a dose of pharmacological reality and question whether injecting Sculptra down to bone makes any physiological sense whatsoever.

The episode closes with a live consultation assessment of Tyler's face (complete with brotherly roasting), three pearls for injectors looking to build sustainable careers, and a candid look at where aesthetics is headed over the next five years.

• (00:00) - Welcome to Botox Cowboys
• (00:26) - Introducing Dr. Robert Dale
• (02:16) - From Urology to Aesthetics
• (07:22) - Myth Busting
• (20:22) - Tyler's Consultation
• (25:37) - Advice for Injectors

Dr. Jesse Thompson joins Andrew and Tyler from his ski-town practice, Prime Medical Clinic, in Rossland, BC, where he's built something increasingly rare in medicine: a genuinely well-rounded practice spanning pain management, regenerative medicine, and aesthetics. What makes this conversation particularly valuable is Jesse's perspective on how these disciplines intersect—and his refreshingly honest take on why he doesn't need to hard-sell aesthetic treatments when patients are coming to him for comprehensive care.

The heart of this episode digs into integrative and functional medicine—not the Instagram-influencer version, but the practical reality of catching metabolic problems before they become disease categories. Jesse breaks down how measuring fasting insulin (rather than waiting for the conventional three-month blood sugar check) catches insulin resistance years earlier, and why the shift from "sick care to health care" is both desperately needed and financially complicated. He doesn't shy away from the peptide conversation either, offering a grounded perspective on BPC-157, GLP-1 agonists, and why half the people buying peptides online are wasting their money on contaminated compounds that do nothing—or worse.

The guys also tackle what it's like being a male injector in a female-dominated field (spoiler: having your wife as your practice partner solves a lot of problems), the myth of metformin as a longevity wonder drug, and Jesse's philosophy on work-life balance with three kids under seven and multiple businesses. His answer to the "best bang for your buck" anti-aging question might frustrate anyone looking for a quick fix: resistance training and staying fit your whole life. Sometimes the unsexy answer is the right one. This episode is essential listening for anyone trying to build a practice that's both profitable and principled.

• (00:00) - Welcome to Botox Cowboys
• (00:14) - Introducing Dr. Jesse Thompson
• (01:58) - The Aesthetics Journey
• (09:28) - Integrative Medicine
• (14:48) - Peptides
• (18:34) - Metformin
• (20:18) - The Canadian Healthcare System
• (23:54) - Being a Guy in a Female Dominated Field
• (25:48) - On Balance

What does it take to thrive in an industry where science meets self-confidence—and everyone’s chasing the next best thing? Dr. Andrew Dargie sits down with the incomparable Leisa Krauss, better known as The Bitchin’ Beautician, to find out. For thirty years, Leisa has seen the aesthetics world evolve from back-room laser demos to full-scale empires. She’s been a stylist, a trainer, a consultant, and now one of the sharpest truth-tellers in the business. Together, they take a scalpel to the myths and marketing madness that clutter the beauty landscape.

From the explosion of med spas and the myth of “passive income” lasers to the untapped potential of male clients and the power of authenticity, Leisa and Andrew deliver a masterclass in what actually builds success: passion, ethics, and a deep respect for your craft. Leisa breaks down the biggest red flags in consulting (“If they’ve never worked in a clinic, don’t pay them to tell you how to run one”), while Andrew calls out the pseudo-science and podium posturing that have turned too many conferences into circus acts.

It’s smart, irreverent, and refreshingly candid. Leisa shares stories from the “Wild, Wild West” years of aesthetics, why she believes memberships are the future of client loyalty, and how the right mindset can make or break a new injector. It’s a love letter to doing things the right way—and a reminder that in this industry, truth will always outshine hype.

Links & Notes

• Leisa Krauss (The Bitchin’ Beautician)
• Vanity Empire Consulting
• The Scalpel of Truth Podcast
• Learn more about Dr. Andrew Dargie’s Botox Course
• Submit Your Questions!

• (00:00) - Welcome to Botox Cowboys
• (00:38) - Introducing Leisa Krauss
• (05:38) - What is the success recipe for individuals growing their skills and practice?
• (11:18) - What is the untapped market for clinics right now?
• (18:20) - What makes Leisa crazy?