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?

The Botox Cowboys are back after a summer on the golf course (where Andrew allegedly “shot a million”) and they waste no time diving into the weird, wonderful, and occasionally worrying world of aesthetic medicine. This week’s episode barrels from the hidden costs that quietly bleed new clinics dry—yes, even your water bottles are a line item—into the awkward but common reality of patients fainting mid-injection. Andrew explains how to spot the warning signs, while Tyler mainly wonders if you wake up hotter or just embarrassed.

From there, things get dicey: the guys unpack the murky world of product dilution. Sometimes it’s medical strategy, sometimes it’s, well, not—and suddenly you’re paying top dollar for watered-down filler like it’s a dodgy cocktail at a dive bar. Just when you think it can’t get weirder, enter “ScroTox,” a procedure whose name alone tells you almost everything you need to know. Wrinkle-free? Maybe. Necessary? Absolutely not. Entertaining? Oh yes.

The show wraps with something both practical and fascinating: the power of masseter Botox. Whether you’re grinding your teeth into dust or just want a slimmer jawline, Andrew breaks down how this treatment works, why precision is everything, and what it’ll cost you if you clench like a stressed-out beaver. It’s an episode that manages to be educational, ridiculous, and just the right amount of uncomfortable—the Botox Cowboys way.

• (00:00) - Welcome to Botox Cowboys
• (01:40) - Listener Questions!
• (01:58) - Startup Costs?
• (06:45) - What if I pass out?
• (09:28) - Diluted Product?
• (15:14) - Scrotox.
• (21:26) - The Friend Parade
• (22:11) - Other Uses for Botox: Stop the Clench!

Tyler’s back in Kelowna, and he and Dr. Andrew dive straight into one of the stranger uses for botox: body contouring. Turns out, high-dose botox can shrink bulky muscles like calves and shoulders by inducing atrophy. It’s not for everyone—professional athletes, maybe sit this one out—but for those chasing the Barbie-calf look, it’s a legit option.

Next up, the pair dismantle the idea of “ethical botox pricing,” calling out clinics that charge per area instead of per unit. While it sounds simple, this approach often leads to weaker treatments and higher costs, misaligning the injector’s incentives with patient outcomes. Andrew argues for transparency: dose based on muscle strength, not marketing spin.

The episode also touches on why more medical pros are leaving traditional practice for aesthetics. Better schedules, creative freedom, and grateful patients—plus, no more eight-dollar prostate exams—make it a compelling switch. Tyler caps it off with real-world clinic build advice: keep designs simple, don’t overspend on brand names, and always cross-check your designer with your builder.

And finally, there’s Kevin. Their lovable, crinkly, brow-heavy friend becomes the show’s first official makeover subject. Also, Tyler really wants to know where to stop shaving his legs. No, seriously—he’s asking.

Links & Notes

• Learn more about Dr. Andrew Dargie’s Botox Course
• Submit Your Questions!

• (00:00) - Welcome to Botox Cowboys
• (01:09) - botox for Body Contouring
• (05:52) - "Ethical botox Pricing"
• (16:45) - Tables Turn: Tyler answers aesthetics questions
• (24:27) - Kevin's Korner

This week on botox COWBOYS, Tyler confesses his seasonal love affair with Texas, Andrew breaks down how Botox keeps your pits dry without breaking your thermoregulation, and both attempt to answer the question no one in medical school ever prepared them for: “Can you use this to stop underboob sweat?” (Spoiler: yes, and also possibly butt folds.)

We dive sweaty headfirst into the gloriously underappreciated world of hyperhidrosis treatment—that magical, not-nearly-talked-about-enough use of neuromodulators that turns your shirt from a soggy embarrassment into breathable confidence. But wait, there’s more! Ever wondered why some clinics act like pharma reps are fairy godmothers with bottomless goody bags? Or how the aesthetics industry simultaneously breeds both empowerment and wild entitlement? Andrew’s got thoughts. Lots of thoughts. And a skincare grift story that will make you want to exfoliate your morals.

Also covered:

• Why freezing your armpits before injecting them is not just a luxury—it’s basic human decency.
• How to decode if your injector is using the good stuff or just the cheap stuff with snazzy brochures.
• And the utterly terrifying concept of Andrew and Tyler showing up at Pete’s house unannounced with a syringe and a dream.

If you’re in aesthetics, thinking about aesthetics, or just trying to stop sweating through your suit jacket like a human waterfall, this episode’s for you.

Links & Notes

• Learn more about Dr. Andrew Dargie’s Botox Course

• (00:00) - Welcome to Botox Cowboys
• (01:21) - Hyperhydrosis
• (10:00) - The Business of Medical Aesthetics

Let’s be honest: if you’ve ever pulled back your own face in the mirror and thought, “Yes, this—this is the look,” you’re not alone. This week, Tyler and Andrew saddle up to dissect thread lifting, a procedure that sounds like it belongs in a sewing kit but actually involves barbed wires in your cheeks. Yes, really. If that sounds horrifying, don’t worry—Andrew explains it with the reassuring calm of a man who has definitely put more threads into people than a conspiracy subreddit.

We also talk Botox pricing structures that might be secretly screwing you over (spoiler: “per area” pricing is the Wild West of aesthetics), why “dose to effect” is the gospel injectors should be preaching, and how filler migration isn’t the ghost story you’ve been led to believe—it’s often just a tale of lazy technique. And then, in the grand finale, Tyler gleefully exposes Andrew’s complete incompetence with drywall, rice, and… temperature?

So whether you’re a curious patient, a seasoned injector, or just someone who wants to hear a professional doctor flail wildly when asked how to cook a steak, this episode has it all.

Links & Notes

• Learn more about Dr. Andrew Dargie’s Botox Course

• (00:00) - Welcome to Botox Cowboys
• (00:53) - Cowboy Wisdom
• (04:30) - Learning the Ropes: Thread Lifting
• (11:20) - No Bull
• (15:33) - Andrew's Adulting Quiz

This week, Andrew and Tyler saddle up and ride straight into the collagen-stimulating sunset of biostimulants — the third horseman in the Holy Trinity of cosmetic work (alongside botox and HA fillers). What are they? Why do they sound like something you feed plants? Are they the skincare equivalent of taking your vitamins or injecting your face with hope and regret? All these questions — and more — are answered with the enthusiasm of two guys who’ve done more than just read the packaging.

Andrew breaks down the differences between Radiesse and Sculptra, while Tyler reacts in real time, somewhere between “intrigued” and “ready to pass out from the cannula.”

The duo also dives into a no-holds-barred segment on what men really think about aesthetic procedures in women. Spoiler: “duck lips” are out, natural beauty is in, and overfilled cheeks will have you looking like the villain from Saw. Somewhere, a filler injector with no soul is quietly crying into their 17th syringe.

And in a surprise twist, the episode wraps up with the promise of a future skincare deep-dive, because apparently, everyone has skin ... everyone.

So buckle up! Whether you’re a beauty junkie, a bull-riding Botox virgin, or just here to laugh at the word “elastin,” botox COWBOYS is ready to inject some knowledge into your auditory canals.

Links & Notes

• Learn more about Dr. Andrew Dargie’s botox Course

• (00:00) - Welcome to botox COWBOYS
• (12:40) - No Bull!