Welcome to Inside Out Med, a podcast where aesthetics and wellness meet innovation and transparency. Each week, our team takes you inside out of the most talked-about medical-spa treatments and products, from injectables and advanced lasers to weight-management programs and holistic wellness therapies. We explain how they work, who they’re for, real patient experiences, and what’s next in the industry with trends, compliance and all of the in's & outs.
Whether you’re a provider looking to enter the aesthetics and wellness space or a patient searching for quality practices, Inside Out: Aesthetics & Wellness gives you clear, trustworthy, physician-supervised insights on what to look for, what questions to ask, and how to make informed choices.
Perfect for beauty enthusiasts, aspiring practitioners, and anyone curious about the science behind today’s most effective aesthetic and wellness treatments.
Links:
refreshpbma.com
xsmedspa.com
Bargain Botox & Med Spa Malpractice: Exposing the Industry's Dirty Secrets
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 Toxin Epidemic: Why $5-a-unit Botox is a massive red flag. We reveal how clinics are illegally sourcing products from overseas, forging lot numbers, and secretly substituting cheaper toxins without patient consent.
The Regulatory Wild West: How unqualified brow salons are getting away with performing medical-grade laser procedures and why the industry desperately needs a dedicated regulatory body.
TikTok's Fake "Longevity Experts": A candid discussion on the unregulated peptide market, the dangers of Chinese supply chains, and the "snake oil salesmen" who attribute their steroid-driven physiques to "research-only" peptides.
Why Aesthetics is a Service, Not a Product: We explain unit conversions (Botox vs. Dysport), the importance of saying "no" to misguided patient requests, and why you are paying for the provider's expertise—not just the vial.
Tune in to learn how to spot red flags, vet your providers, and find a medical home you can actually trust.
28 Apr 2026
The Wild West of Wellness: Unqualified Injectors, Black Market Peptides, and Patient Safety
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 this episode:
The Injector Epidemic: Why the medical spa industry is being flooded with inexperienced practitioners and the risks of operating without proper medical oversight.
The Dunning-Kruger Effect: How a lack of medical experience often masquerades as absolute confidence on platforms like Instagram and TikTok.
Black Market Peptides & Weight Loss Drugs: The legal, ethical, and medical dangers of buying unregulated compounds online.
Counterfeit Aesthetics: The frightening reality of fraudulent Botox and dermal fillers being sourced overseas purely for financial gain.
Putting the "Care" Back in Healthcare: Why proper diagnostic workups, legitimate pharmacy sourcing, and direct physician follow-up are non-negotiable for patient safety.
10 Apr 2026
The Dark Side of Med Spas, Peptides, and Unregulated Wellness
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 unregulated peptides, online telehealth shortcuts, and black-market wellness products. They explain why so many peptide companies are operating in legal gray areas, how overseas manufacturing and lack of quality control put patients at risk, and why proper medical oversight matters more than ever.
The hosts also unpack the differences between legitimate medical providers and social media “experts,” the importance of real medical oversight, and what patients should look for when choosing a clinic for weight loss, peptides, or aesthetic treatments.
If you want to understand the truth about peptides, med spas, and the risks of unregulated medicine, this episode is a must-listen.
30 Jan 2026
The Arrest That Changed Everything: Rebuilding a Practice the Right Way
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 safety has to come before profit, especially as wellness clinics, online prescribing, and loopholes keep multiplying.
23 Jan 2026
Inside Out Med: Tattoo Removal, Compounding Pharmacies, and Med Spa Safety
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 role of Legit Scripts in certifying compounding pharmacies and practices, mostly for advertising purposes. Legit Scripts certification opens a practice up to inspection.
22 Jan 2026
The Shocking Truth About Med Spas: More Locations Than McDonald's & ZERO Regulation!
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.
14 Jan 2026
The Med Spa Industry's Downfall: Ideal Image Bankruptcies, Corporate Healthcare, and Wellness Trends
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.
14 Jan 2026
The Unfiltered Truth About Neuromodulators, GLP-1, & Dangers of At-Home Aesthetic Treatments
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.
14 Jan 2026
Hyperbaric Oxygen Therapy (HBOT) Protocols, Risks, and Benefits: Is It Worth the Investment?
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.
5 Jan 2026
The Unfiltered Truth About Med Spas, Permanent Fillers, Surgical Tourism, and Bad Injectors
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."
22 Dec 2025
GLP-1 Weight Loss Medications Explained | Risks, Benefits, Botox, and the Future of Aesthetics
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.
16 Dec 2025
IV Hydration Clinics, Botox Parties, and the Patient Safety Problem in Florida
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.
8 Dec 2025
Inside Out Med: Navigating the Aesthetic and Wellness Industry
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.
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