Inside Out Med

In this episode of Inside Out Med, we are pulling no punches as we expose the deceptive and often illegal practices plaguing the medical aesthetics and wellness industry today. From "bargain" injectables to unlicensed laser treatments, we break down exactly how bad actors are cutting corners to maximize profits at the expense of patient safety. Key topics covered in this episode: The Counterfeit T...

In this episode of Inside Out Med, we pull back the curtain on the alarming lack of regulation currently sweeping the aesthetics, anti-aging, and wellness industries. We discuss the growing trend of inexperienced practitioners entering the field, the dangerous rise of counterfeit injectables, and the truth behind the viral "research-only" peptides taking over social media. Key topics covered in th...

In this episode of Inside Out Med, the team breaks down what is really happening behind the scenes in the med spa and peptide industry. They discuss the collapse of Ideal Image, what went wrong in their business model, and how poor medical protocols and aggressive sales tactics created serious problems for both patients and providers. From there, the conversation dives into the growing trend of un...

A single decision can change your life and your business. This Inside Out Med episode follows a founder’s story from rapid growth to a devastating compliance breakdown involving injectables, legal charges, and public fallout. From there, we dig into what “doing it right” really means in modern medical aesthetics: licensure, supervision, documentation, medical director involvement, and why patient...

In this episode hosts Jay Feinberg from Refresh Palm beach Aesthetics and Chris Senger from XS MedSpa discuss tattoo removal and compounding pharmacies, distinguishing between 503A, which is patient-specific, and 503B, which ships to the clinic for dispensing. Concerns are raised about patient non-compliance with GLP-1 medications. Also touching on pharmacy regulations, safety mechanisms, and the...

In this episode of Inside Out Med, hosts Jay Feinberg from Refresh Palm beach Aesthetics and Chris Senger from XS MedSpa discuss the explosion of the medical spa industry, noting that there are almost triple the amount of med spas as there are McDonald's in the state of Florida. The rapid growth has led to an "oversaturated market" and a lack of regulation.

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 h...

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...

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...

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, pro...

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 com...

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. Wit...