The 3W Podcast

The 3W Podcast: Kara Richardson, P.A.

• Kasie Yokley

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Ever been captivated by the allure of flawless skin and the transformative power of dermatological treatments? Join us as we sit down with Kara Richardson of Premier Dermatology, whose 19-year tenure in the medical field is nothing short of a masterclass in dedication and expertise. Together, we dissect her fascinating journey to becoming a Physician Assistant in the elite field of dermatology. Kara's candid reflections on her early career milestones and the pivotal moments that guided her path will stir an appreciation for the meticulous art of skin care.

Dive headfirst into the enlightening world of Botox and fillers, where Kara dispels myths and unveils the artistry behind facial enhancements that defy time's relentless march. Discover the graceful balance between restoring volume and maintaining natural expression, and why a strategic approach can revolutionize your view on aging. If you're contemplating aesthetic interventions or simply intrigued by the science behind it, this episode is your personal consultation with one of the field's most seasoned pros.

But it's not all about aesthetics; it's also about life-saving vigilance. As we navigate the significance of skin care and cancer prevention, we're reminded of the transformative impact of routine skin checks and the importance of catching melanoma before it spreads. Kara and I also celebrate the educational outreach of Premier Dermatology and the empowering advice available through Dr. Missy Clifton's "All Things Skin" podcast. So lean in, listen, and let this episode be your guide to embracing a life of gratitude, inspiration, and impeccable skin care.

Kasie Yokley:

Hey everybody, welcome back to the 3W Podcast, home of the who, what when, Northwest Arkansas. I have my dear friend Kara Richardson here with me today. Hey, kara, thank you for having me. Kara is with Premier Dermatology, I would say in Bentonville, but Bentonville, Bella Vista, fayetteville, all the places. So she's here with me and I'm gonna put her on the spot really quickly. So just get with me on this one, kara. How'd we meet? I can't really, I know just kidding, just kidding. Kara can't tell you how we met because it's HIPAA and I didn't even think about that because I have, like, these lists of questions to try and be overly prepared. And she was like I can't talk about that. And I was like, oh well, why? Oh well, because of HIPAA. And I'm like, oh, I didn't think about that. So that leads me to say everything is super, super safe at Premier Dermatology. Like they know everybody in town, they know all the deep, dirty secrets, but yet they're not spilling it. That's right, like I would want to right.

Kasie Yokley:

I'm like, oh you, you've seen some things yes okay, so we met at Premiere because you are my poker.

Kara Richardson:

Yes, we, and you are one of my patients and it has been so fun.

Kasie Yokley:

It's been a long time. I don't know how many years it's been. Oh, I don't know exactly.

Kara Richardson:

I've been at Premiere 19 years, okay, but I met you before you had a baby, so my baby's eight. So, yes, probably 10. Probably it's a lot. 10 plus 19 years is a long time at one place. Uh, it's an amazing place.

Kasie Yokley:

That's all I can tell kudos to you because there's so much hippity hop these days, and then the past five to ten years there has been a lot, definitely, so that's awesome.

Kara Richardson:

So you were in the original location I was in the original basically came on in the first two years of Premier Like off 28, right, is that the right? Yes, off 28. Okay, yes, and Dr Phillips and I actually worked together prior to Premier. Oh, I didn't know that. Yes, so I did a part-time job in college at another dermatology office that she joined, originally for a short stint, and actually we worked there together and I worked kind of like a nursing aide, um, and got to work with her. And then I went off to PA school and my mother-in-law actually came in and saw her and told her I had graduated and she said, oh, she should give me a call and I did. And 19 years later, here I am.

Kasie Yokley:

Yesterday, yes, okay, well, pa school. So that means you're super smart. Well, that's very sweet.

Kara Richardson:

It does, it does.

Kasie Yokley:

I've worked very hard for it yes, I would say that that's, that's absolutely. It's not without not tons and tons and tons of work. And I only know that, um, I don't know this little girl. I babysat in tulsa 100 years ago. She went on to become a PA. She's now the godmother of my 14 year old tomorrow. So like I watched her grow and develop and at one point she was like I was like hey, get in the front seat. She was an eight-year-old and she was like I can't sit in the front seat. Eight-year-olds can't sit in the front seat of air so I was like oh, I am, we are not.

Kasie Yokley:

The same is what I quickly learned. And then she went on to become a PA in Oahu and I'm like I watched all this time and study and I'm like wow, yeah.

Kara Richardson:

So PA school, um, I kind of lucked into it. That's what I always say. I really did just looks into PA. You can't. I did because PA schools back then didn't really exist in Arkansas. Uh well, they didn't exist. Harding came on very quickly, but I went to PA school in Springfield Missouri yes, springfield Missouri. And the reason I went was my sister-in-law actually worked with a PA and she was like have you ever heard of them? I said no, I was at a junior college, wasn't sure where my biology degree was going to lead me. Were we on the nursing track? Not really, just kind of the science track Probably? Originally had a short stint of thinking I might go to medical school and then quickly sat in class with other people and thought not going to medical school.

Kara Richardson:

Why Were they not your people?

Kara Richardson:

No, they were so much smarter than us Next level, next level, for sure, but you told us that you're not sure, but that's it. And so I just honestly knew that probably wasn't something I was going to truly commit to. And so I was considering going back to nursing school to do nurse practitioner and then heard about PAs and started looking at it and with all my work experience at the dermatology office, I really had kind of all the things in place to apply and so I did and, lucky enough, because it's highly competitive. Oh, today it is way more competitive. When I was going it was. I mean it was competitive, but not to the. I mean it's ranked in the top 10 careers, yes, every year now, yeah, and so for that reason makes it very competitive. So I feel very fortunate that I was led in that path 19 years ago and and dermatology years ago for what I have heard.

Kasie Yokley:

Oh, in the pay, yes, and you're just like. Oh, I just started, though I just like happened to get laid in the PA and I'm at a dermatologist office. So, yay me, yeah, I really did.

Kara Richardson:

I and I I tell darsh glifton all the time I'm just thankful to be a part of your world, because it is so hard to get into dermatology so hard. Yes, so, to have started there and really have grown as a pa. There has been an amazing journey and experience and because dermatology is a whole nother level.

Kasie Yokley:

Like, I don't think poking my face you could paralyze me, I would assume an eyeball to fall out, but I'm like you're going. But yes, we're taking it very far into the skin, right, it's very. I mean, I feel like you're going to my brain, but that's just because I'm overly dramatic, right?

Kara Richardson:

I mean your pay tolerance. We would. It was clearly low. I mean I wouldn't say it's on the high.

Kasie Yokley:

Right, no, you and multiple people. But also I do feel like I'm real tough, but I'm a giant baby when I come to you. But I mean you all are going barely into the skin. I mean I know y'all have fancy level names for your layers and whatnot and I'm like that takes extreme artistic precision we take it very seriously.

Kara Richardson:

Yes, we want every face is is very different and you want that treatment to be customized to that base and you know the results that we're looking for. So you, yeah, we've had, I've had lots and lots and lots of practice over these years, lots and lots of trainings. Um, just to speak to that, as injectors at premier, we have 65 years of experience. That's bananas, I know we've not bananas. Yes, so you won't hear that in in many places, and for sure not northwest star. No, but yeah, so I work with an amazing team. I mean Dr Clifton leads that team, but those around us, I mean we work together so well.

Kasie Yokley:

There's like no turnover. Yeah, even if a coach comes against me out of the waiting room. It's always the super cute Jordan. Yes, thank you. With the adorable blonde hair, she's just the best thing. Oh, she's the best, yes, and I'm like, oh, she's like how are you doing? I blonde hair, she's just the best thing, best. Yes, and I'm like, oh, she's like, how are you doing?

Kara Richardson:

I'm like ready, let's go fill me up. But yeah, so I think that's the key is, you know, as we're a family, um, and, like I said, a team that really works well together and we want the patient to feel like the entire team is part of their care and cautious and cautious and don't just fill people up to fill them up, because I walk in and I'm oh, I think we need to do this and you're like, but we don't.

Kara Richardson:

Yes, I'm real good at telling people no If I don't agree with what they think they need done, if I think it's too much or I feel like it's not going to give the results that we want. And that's what you want in your injector. You want to trust them 100 and I appreciate you trusting me I do.

Kasie Yokley:

I trust you with everything I would send every human I know well.

Kara Richardson:

I tell people all the time the best compliment is when I get that friendship referral or that one-on-one that, that that means everything, absolutely, because that's that's what we're aimed for. You know ad permit is to is to make people feel like you know they're the most important thing at that moment and that we're taking the best care. That's absolutely true.

Kasie Yokley:

So I feel like I'm your only patient when I walk in there. Good, we're doing our job. What's the weirdest thing you've ever seen? Oh, I don't know. You see lots of weird things.

Kara Richardson:

No, dermatology kind of, is that? I mean there's a lot of strange things, you know, between the rashes and what everybody sees on TV on Double Popper. I mean you can imagine Last week what did you see? So I don't do as much medical anymore. So I am mainly on the cosmetic side I would say 95% at this point where I am truly just in doing injectables, kind of like Van Gogh. I don't know, I wish I was like Van Gogh, but I love what I do. I mean I really do.

Kara Richardson:

And yeah, when you're injecting someone, you know every face is new and I always say that's what keeps it exciting, is you know, every face is a new face. It's a new campus, yes, and so I just want that to be the best face that it can be for them. I want them to feel like they look less tired, rested, brighter, whatever it is, because none of us want to age. No, I mean no, I totally fake. Oh, 100%, instead of just one age. No, I mean no, I totally fake oh 100. We jubble cook, that you know. Happy, maybe in the hospital, but the bojocks is coming in.

Kasie Yokley:

I'm still gonna work the band. So that is the saddest part about walking into rear is I feel like a what do I? A sharp, sharp, sharp pain I'm like just make me not like a Sharpay walking out. Y'all look like China dolls and I look like a Sharpay walking out.

Kara Richardson:

And I, you know that's it's. Those sprinkles are just not, they're not anybody's favorite thing, so but yeah, we, we want everybody to just get that that refresh look.

Kasie Yokley:

Well, let's talk about that Like inject, okay, so I butchered it on my, my notes page like injections and treatments and trends, and fillers versus toxins, am I? Yes, that's correct. Is that correct? Yes, okay, so to your sharp point. Uh, I can't hear you just add some letters so to the sharp a point.

Kara Richardson:

Okay, that's where your botox and that's up here.

Kasie Yokley:

It's all over it can be all over really at this point.

Kara Richardson:

Um, because the rumor was, I feel like 100 years ago it was like no, can't go below here because you're gonna be paralyzed and that's the thing is that there's always the on label version, which is is what the brands can really speak to, and then there's the off label version, which is where we use, you know, fillers or toxins in places that maybe the FDA approval doesn't accurately include. But yeah, so now I feel like we are using Botox really from the forehead all the way down to the neck. Stop, people, put Botox in their neck.

Kasie Yokley:

Oh, I have a ton of Botox in my neck Till I take this. You have Botox in your neck, Did you just say that? Yes?

Kara Richardson:

because I was not blessed with a very long neck. It's a very short neck, okay. And so one thing that Botox just a little kind of side note is that it can actually help lengthen that neck Because as we age and the world of technology and phones in front of us and us looking down all the time, okay, those little platysmal bands and they're really not little but platysmal bands can kind of get shorter and shorter, and so when we relax some of that, we allow a little lengthening. It's called the nephrotity effect, and so you put Botox along that jawline and you get a slight lift. It can also help to minimize the look of them. Sometimes you'll see these sharp bands.

Kasie Yokley:

Yes, on those women as they age.

Kara Richardson:

Whatever those words were yes and so, because of the fat loss and the thing in the skin, sometimes those bands get more pronounced. So botox can be a great way kind of minimize the look of those. So botox, we talk a lot about expression lines like frown lines, crow's feet or smile lines. Those things are well taken care of with Botox. The smile lines is that out here or right here? Right here, I say smile lines around your eyes. We can help also lift the brow with gauze. Your Botox is really working on movement, so so you're going to reduce some movement, to lessen some lines.

Kara Richardson:

Okay, when we talk about fillers, what we're trying to do is give back the cushion or the support. Okay, because you really, as we age, lose a lot of that cushion and support, whether it's in fat loss or bone loss. Um, we can't talk about bone recession. So our, unfortunately, our, our skull kind of shrinks a little bit. It does, it does our bone gets thinner and so with that separate from like an osteoporosis type, yes, very separate, very just natural aging, oh and so, as that happens, you start to see more shadows, more hollowing around the eyes. Sometimes what we see these shadows have in these around our mouth and where we feel like we have those folds and what many people refer to as marionette lines, which is on the lower part of the face, oh okay, which I guess looks sad. So less shadows and more light reflection give us a brighter, more useful look.

Kasie Yokley:

But you must have some like amazing fillers. No, that's yes, that is what fillers these days, because you have not filled me, yes, in forever. So even though I've asked, for it.

Kara Richardson:

You're like you don't. A lot of times you get a little remodeling with those fillers, meaning you place that filler underneath the skin and your body will actually kind of build back around it in some ways and create some support that maybe it didn't have before. So even as the filler may be absorbed over you know a time of sometimes you know six months, sometimes a year then your body has built back itself in place of it slightly. Now eventually you'll need it again. I think today's world of fillers is that we don't tend to treat the same area every time. That's not you used to. We may come in and we would just treat, oh would that be like that?

Kasie Yokley:

um, what's the movie with the lips and goldie haunt, first wife, first wives clubs?

Kara Richardson:

bring them up, fill them up. Yes, you're just doing the same thing over and over again. Today's world of fillers. We are really looking at the face and giving support back where it's needed, whether that be cheeks, whether that be jawline chins. I mean johns and chins are really a focus right now. We want more of a chin. We want, we want to make sure that we keep the projection of the chin and, yes, more of the chin.

Kara Richardson:

You poked me down here, but I don't know there's some botox there too. This down in the lower face, you get a couple things happening back to the bone, kind of recessing. That chin recesses over time and so when we lose that, you lose the sculpting that you have on that jawline and in photos and the world of photos are so prominent right now that I mean people just don't like how they look. They're still the first day like, oh, I see my double chin or I see my jowls and those things. The jowl the jowl is your, basically a little fat potter if it kind of sits on either side of the chin that you we start to see due to some shifting in fat pads also as we, oh, those things move, yeah, so there's, um, there's a lot going on in our faces as we age and so, as an injector, what we're trying to do is put things back in place or in um support that can create a more useful look. So jawlines are a big deal because you really can create a a useful look by just giving back that structure.

Kara Richardson:

So I think cheeks you know we talk at the ending there's all these celebrities we've watched over the years. I mean, there's all these celebrities we've watched over the years morph into something that we maybe don't like the look of Right. And people always ask me well, what filler? You know, it's probably a combination of filler and maybe some plastic surgery and maybe some plastic implants who knows? But they're not a natural look Right. Main thing I tell my patients is I want you to look like you. I don't want to change your thing, who you are. We want to just lessen things that bother you, and that is not only just fillers and neurotoxins.

Kasie Yokley:

It's also in resurfacing. Oh yeah, You've sold me a bunch of things to put on my face.

Kara Richardson:

Your skin care is key. I mean, you may not have a line and you may not have a shadow, but if you have a bunch of age spots or sun spots or an even tone to your skin, you're still not going to be happy with it, right? So that's another thing at Premier that we love is we have all the things that you need, all the things To address those things, whether that's in, you know, some blazers, yes, or at home skincare, um, and then you know even big lasers that you know for a lot of people, if they're starting later, you know, people are young people now, are are in this game early, oh right, because they're ticked off, yes, and they want to. They're starting botox in their 20s. Well, you know, is that good? It is good, okay.

Kara Richardson:

It is absolutely preventative, okay, but there's never too late, is what I tell people. Like, if you haven't started, it's the things that I do that can, that can definitely improve, and you know that's something that you know there's not a set standard. You shouldn't start Botox at 25. That's not the answer, gotcha. You should start when you're starting to see etched lines or changes where you're feeling like you have a heavier brow than you used to.

Kasie Yokley:

Oh, is that? Does that just happen to everybody? It does.

Kara Richardson:

Oh, okay, yeah, everybody gets it. It's. You know, nobody is not aging Okay, fair. So everybody gets it. You know, nobody is not aging, okay, fair. So you know, our lifestyle definitely plays a part in it. How much sun you've had, how much you know, your day-to-day diet, exercise, those things are going to play into it. But everybody's aging some. So we just want to slow that down and do that in the best way. So for a lot of people, it's Botox early on, just to prevent some 11s that they may see in their family. Oh, 11s, that's hilarious. So, but yeah, so I think every journey is different, okay, and everybody starts at a different state.

Kasie Yokley:

I do love that and y'all don't judge, no, no, because I'm a sun lover. I know I mean we're gonna spend a real sense very painful, but I just want to be as transparent and honest as possible. But I'm wearing the sunscreen, but I also and like y'all can go sit over there in the stands I'm gonna go sit in the sun because i'm'm like A I'm cold and B I just love. But you're wearing your sunscreen, I am wearing my sunscreen and that's key. Yeah, and I take a hat with me on vacation.

Kara Richardson:

And we want people to live as dermatologists. We don't expect you to yeah, you never say me, yeah, never.

Kasie Yokley:

But we expect you to. You never say me yeah, never. But we do want you to do your skin checks. Yes, so which may? This will air in may, even though we're recording early, sorry, everybody cats out the bag. Um, may is what? How did what's the proper term skin candy, or where? This month? Okay, yes, yes. And so I feel like y'all have done free skin checkups every may, so we haven't passed um.

Kara Richardson:

We're a little busy right now to where we can't offer those as as often as we'd like to. But schedule with your normal schedule, with your normal appointment, whether that's, and then just yearly, that's right, that's the key and I will throw myself under the bus.

Kasie Yokley:

I just did my first one a year ago and and it was fine, yes, and I think we removed something because I wanted it removed. I was, take that off, it serves no purpose, yeah. And then I didn't think anything of it. And then so you called me like a week or two later you're like, oh, it's fine. I was like didn't think it wasn't and it did, but we called anyway, didn't even dawn on me that we were checking it, but you all went through the extra steps that never even occurred to me. I'm like like I'm where I'm supposed to be, I'm with the right people, that's right.

Kara Richardson:

And a skin check is easy. I mean, I know it's scary to a lot of people. Nobody likes the idea of having to come into any clinic and, you know, get in a gown, it's going to save lives.

Kara Richardson:

It is and it's. We're looking at each individual lesion and we are not looking at you know people, no, your whole body. We're looking at your whole body, but just, yes, in terms of your skin, yes, so we want you to feel comfortable. Um, the process is is pretty simple. You basically check in, get your history on your, on your son, you know exposure, your, your family skin cancer history, um, and then we put you in a gown and we go you know little areas at a gown and we go, you know little areas at a time and look at lesions and analyze them and decide if there's anything worrisome. If so, can be removed usually that day.

Kara Richardson:

And we have a dermatopathologist in office who is a board-certified, trained pathologist in just skin. So she is looking at those ladies in house and she's in house dr battle. She's amazing, yes, and that's on our dermatology side. I mean I. Is she so busy? Oh, yes, yeah, how. But yeah, our dermatology side is just as amazing as our aesthetic side because we have, you know, board certified, double board certified dermatologist at oh, I love the other side of the, yes, and then, like I said, dermatopathologist in the house, along that, a pathologist, along with two low surgeons if we have. Oh, this thing is really a big deal. Yes, I mean. So those are. It's a specialized procedure for skin cancer where we can remove small pieces of time, have them looked at immediately and decided.

Kara Richardson:

More tissue needs to be removed, so like all under anesthetic, like right there, yes, and the great thing about the procedures that we typically do in the office all are done on under just a local anesthesia, just meaning a little shot of numbing medicine when it comes to those dermatology procedures. So now, on the aesthetic side, we also have all the things to make you comfortable, things they've made it people comfortable. If people are, um, are, fearful of any procedure, we, um, we always try to make people comfortable, which you do, we try real hard.

Kasie Yokley:

Oh, they'll give me a dill block. Yeah, to do my lips? Absolutely, we don't like to do it, but I, because you want it to be more natural. But right, yeah, it's like you said.

Kara Richardson:

You're like, just as better, but I will do it and it will still be perfect and, and that's the thing, yeah, if we just do what's best for the patient, yeah, and so I think it's all it's all good. And I mean lips.

Kasie Yokley:

Yeah, your lips look great too because, thanks to you, they're essentially your lips. I give you all the credit for all the lips. Well, I appreciate. So, yeah, okay. So we talked about skin checks. Those are good. Okay, let's talk about because of skin cancer awareness month and we have had a couple prominent people pass away in northwest Arkansas in the past few years from skin cancer and those. I mean and I do believe I could be making this up, I don't think I am that my grandmother had something removed and had skin was treated for it. I mean it is dangerous, it doesn't. Yeah, and I'm from generation and I'm older than you of like the tanning beds. I laid in that tanning bed, let's go, yeah, and I had your little heart. Oh, yeah, all your things, yes, and so I'm like it does make me fearful and you have checked me and I have. We have watched this one mole for 100 years, but it's like it may just be, I don't know, like an ant, but you know you've got to take out.

Kara Richardson:

That's exactly so. You have your skin cancers. You know there's different types and not to get into the specifics of the types but some are very surface-based and so they grow pretty much on your upper side of your skin. But your melanomas, which is the more fearful skin cancer, is one that can go deep and so just like Like deep down, or deep, deep down and spread, okay, and so we want to catch those skin cancers at their earliest. It seems wildly to pass away From something that's just on the surface. Yes, so you know.

Kara Richardson:

What I want people to know is that if you've got this spot and it just keeps catching your attention, like you just keep looking at it, or you get stopped by people and they say, have you had that looked at? Get it looked at. I mean, it's so easy to take a spot off and have it tested. There is no reason for it to just let something grow. Because the thing about melanoma many times it's not painful, it's not sore, but that's so wild. Yeah, I mean it's. You know they don't always just put big flashing lights next to them saying I'm a skin care. Yes, so we. That's what skin checks do. Is they give us that yearly look over. That can hopefully find something new or something changing very early on, right.

Kasie Yokley:

I do love them. It was I was fearful of my skin check, even though it's not painful.

Kara Richardson:

Yeah, everybody's fearful of it, and that's I just want people to know. If that's what's holding you back is just the fear of the visit itself, don't be, we will do our best to you know, keep comfortable and and be as modest as we need to be, all those things because we can do a little section at a time it's easy.

Kasie Yokley:

It took less than five minutes. Not to say that you weren't like thoroughly checking.

Kara Richardson:

You were, yes, but I'm like it didn't take very long at all for me and I think you know that we have some, some great testimonies even on our our website and things, things that talk from or speaking from people who have had skin cancer and just how important it is. So if you need just some reassurance or you know kind of what that looks like, go to our website, premieredermnet, and you can look at all those things along with you, before and afters and months. Yeah, everything, absolutely it's a great resource.

Kasie Yokley:

It is a good resource. Yes, okay, open house, okay, yes, seven house. Open house happens in april happened. Yes, because it's coming out in may. So I apologize, but talk about the success of those. I feel like the first one was in bettenville.

Kara Richardson:

Yeah, oh, for sure it was on 28th Street. I'll never forget it. Okay One, I feel like it was very nerve-wracking. Where did it come from? Where did the idea come from? Missy Clifton All the great ideas at Premier Dermatology come from Missy Clifton, so, but she had this vision of a way to for it to be a customer appreciation day along with an informational just. I love the I mean bomb on. Yes, it gave him the ability to learn about everything that premiere offers. Um, and just learn about procedures and get ideas without feeling that pressure of coming in for a visit right, because then you feel like you're like, oh, I gotta cave and do it.

Kasie Yokley:

Yeah, exactly and we don't know if you could watch somebody get injected right there in the waiting room or in a because? Yes, speak to that.

Kara Richardson:

Yes, I said basically no, it's that's. That's the the neat thing about um, that day one. We're very excited about it. I, you know, we want people to know that it's a day that we love. The vibe is amazing. Yes, we love getting to just talk to our patients and their friends, if they bring them, and let them know what options they have and really have the reps there from different companies.

Kara Richardson:

Which is a wild part too, like this person is selling this machine, but they are way knowledgeable in it and so they're in there talking about the procedure absolutely, and and we all of our team so knowledgeable, and it's a way for you to get all of your information.

Kara Richardson:

I mean, and you know, downtime to what to expect to cost all those things, and that's part of the customer appreciation. It's a day where we discount our aesthetic procedures for the patient and allow them to take part in those discounts rather than having to wait on a special to come or, oh, you know, everybody has that opportunity to you know, take in, gain from the discounts that day. So I always say it's gift carding yourself your next procedure. Oh, I like that. So, yeah, you're just basically putting money on your account and as you use that money, you receive those discounts that were offered that day. Okay, but more than anything, it's fun. We have food, we have drinks, we have, like I said, all the knowledge, some hands-on treatments happening that day. Yeah, dmos, yeah, dmos for sure, and so I think it's just a great fun day for all of us.

Kasie Yokley:

It is a good day. Is it a long day? It is a long day, yeah, but in the best way.

Kara Richardson:

In the best way, I always joke. I mean I tend to look up and it's 3 o'clock and I've not, you know, been to the restaurant or eaten anything, but I don't even feel like tired or work that spot is good.

Kara Richardson:

So this one, uh the one that takes place in april, is in uh, fayetteville and so we have, we, um, you still have one a year, this having two years, really nice. So fayetteville is our spring open house and then bentonville is our fall open house. Both are wonderful events, um, it's, it's just a day to really gather up your friends and and come just enjoy so how many years?

Kasie Yokley:

so, if you've been a premier for 19 years, is the open house 19, it's 20 years old.

Kara Richardson:

Well, the house I think is 19, because I think there's one year we didn't but it's I mean, uh, yeah, it's a crazy and you all still found a way to be creative, pivot and do it during COVID.

Kasie Yokley:

Yes.

Kara Richardson:

Right, you still did it. Yes, all virtual Uh-huh, and that's Sarah Fast and Emily A Wallens get all the credit. She's one of my favorites, I know they get all the credit in that.

Kasie Yokley:

And y'all are from the same hometown. We are from the same hometown. You suddenly have like travel well, we do.

Kara Richardson:

We have coming groups, yes, where they from. I know our people, yes, uh, but no, it's uh. They put such a good event together, they. There are giveaways that are amazing. I think the last one was something like thirty thousand dollars worth of giveaways. So, and you know, they just they make it so seamless and and fun for everyone, so including us, so I appreciate them so much it's the and the giveaway is like a pay it forward.

Kasie Yokley:

It's not just to like win.

Kara Richardson:

Yeah, I feel like you're truly paying it forward yeah, somebody's getting, somebody's gonna get that treatment that maybe they didn't exactly have funds for or didn't have this. You know we're going to spend it on themselves, right, and so that's amazing.

Kasie Yokley:

And so, with all the treatments that you do, all the injections, all the fillers, what is the latest trend?

Kara Richardson:

oh for sure.

Kara Richardson:

Right now, I would say the latest trend is jawline oh, what we were talking yes, I think that is um, really focusing on your, what you can do for that jawline, what how it can improve the neck by improving the jawline. You know, I think we're just that's the, that's, that's the. I think some of that is the trend of how long fillers have been around. You know we we've started out, like I said, just trading these, um, you know, nasolabial folds and marionettes, where we're just filling them up. Then it moved to more cheeks and and, and you know we started giving that support and I think you're starting to see, as those things have been held and people have kept those results, we're now focused on where does the jawline fit in and how much does it improve the overall appearance of the face.

Kasie Yokley:

Never have. I thought that my jaw is the next trend, I know, but it's a deal. That's crazy. Okay, I do have one last question, kind of it, just popped into my head Do you all treat migraines with Botox? Does that happen in your office?

Kara Richardson:

So we can treat them. I would not say we treat them the same way if you go to the neurologist and have them treat it. I do have patients that their migraines are improved by the Botox that we do.

Kasie Yokley:

Okay. So I'm a migraine sufferer, yes, and, having gone to you for years, when I finally got into a neurologist, I was like hey, can you just write me a script for some more Botox? I'm already getting it. I know what it feels like. Let's do this. And he was like slow your roll if you're already getting it. That's clearly not for you. Let's pivot to this injection instead. Instead and it's fine, he's um, I'm I'm very few migraines and now I have 30. Uh, meredith hanks over at mercy hospital, who I absolutely love, who gave us all my migraines.

Kara Richardson:

Yes, but um, talk to me about that situation in your office so there's a couple of ways that it sometimes, with our injections that we're doing cosmetically, can help definitely these brown lines. There's a lot of tension that's held when we're right, so we are still so that base.

Kasie Yokley:

So okay, typically in my hand y'all it go, but I have no idea.

Kara Richardson:

Yeah, so in migraine true migraine injections they're they're going to treat those frown lines, but then the rest of their botox is going to be focused around the, the scalp itself, okay, um the, even the base of the neck, sometimes into um around the shoulders areas.

Kara Richardson:

Those are the things that they're going to treat, that we don't necessarily now I have, so a few that I do specifically treat certain places because we know their tension from their migraines is sort of terrific, like down here, yes, so okay, um, the difference is, is really insurance coverage?

Kara Richardson:

You're, you know, in a dermatology office we're not going to be able to get insurance coverage for migraine Botox, but we definitely can help it.

Kara Richardson:

The other place that I do do a lot of Botox for tension and a lot of grinding are the teeth. So I treat a lot of the master muscle, which is your muscle that is a best for grinding and holding that clenching in the mouth, and so I a lot of people, their migraines or headaches, I should say, can come from those too. They wake up in the morning and they can feel that tension because they've been grinding overnight, not to mention the wear and tear on their teeth for sure from that. So a lot of times we're helping it out, but by relaxing or minimizing the strength of that muscle, okay, and over time can eventually create an atrophy or a thinning of that muscle and kind of change the habits I mean. Oh, so people, you know we all have some tension and we we hold stress in different ways and so sometimes helping those muscles relax can really help the overall where is the craziest place you've placed botox?

Kasie Yokley:

do you have like a crazy story?

Kara Richardson:

I'd say the one that people probably haven't heard of or probably seen much of is you can place botox on the upper eyelid, right along the lash line no kidding, yes, and you can get a slight lift in the lid. So if you have somewhat of what most people would call a lazy eye, oh, you can correct that by actually placing a little bit of botox and relaxing that, that muscle.

Kasie Yokley:

So that's kind of a cool spot that is do you learn that in school or do you just learn those things over time training?

Kara Richardson:

we do a lot of training, okay, as a group. Um, go to a lot of meetings, um, where you've got you know the, the, the real gurus, right as you would call them okay, leading those meetings and really learning. And really, dr Clifton's one of those gurus. She's speaking at many of these events and so she may go and then she may bring us back the knowledge to do something different. But yes, it is an evolving industry that is so fun to be a part of.

Kasie Yokley:

Every day is a new day. Every day is a new day, wow.

Kara Richardson:

Yeah.

Kasie Yokley:

So it's really cool. Do you love getting brand new patients in? Love it? Okay, I love it Versus. Not that you don't love your return, no. All I say is we are best friends. Yes, but like a new, fresh face.

Kara Richardson:

I well, and I, you know I, I love the new, fresh face. Just because you, there's such an energy of excitement and of starting kind of the journey and doing it all um, and so that's why I think open house is so fun. There's a lot of new, do you ever?

Kara Richardson:

had a new people like post, so you'll be in the thick of it right now when this airs right of new people yes and it's, but they just you know it's nice to to be able to just talk through their concerns and and really get to make them feel better about.

Kasie Yokley:

That's how I started. This is all coming back to me. I went to an open house. Is this how it all started? Okay, yes, and I ended up in a room with missy and she's like you need 28, whatever that meant, and of course I couldn't get into her and they're like we're gonna put you a carrot. I was like, okay, great, they okay great. They hadn't met you. It's all nearly back to me. There's the, there's the. Who cares about the hippo? Yes, I got you. That's how I got you my house is so great.

Kara Richardson:

But yes, it's, it's fun and you know, open house, it's the consults you know, all complimentary, so and our. So we want people, if they just want to come in and talk, feel comfortable, make an appointment and sit down with the provider and kind of just weigh your options. You know, I think that's what people need, and I have people who sit to my chair and they don't want to do any more than just up their skincare gang, and that's great, Totally fine too. I've been in it to see you for that. Yeah, it does not all have to be injections. There's a place for everyone and we just want to help them through it.

Kasie Yokley:

Well, I love you all and I'm so appreciative that I was diagnosed with the 28, whatever, that is, units and I got put with you and now you can't get rid of me and I'm very thankful to everyone I get rid of. No, you can't, it's not an option. So my goal is to die like Barbie. That's right what I told you, minus the blonde hair. I end this, michael, and no, you're my person and you, I'm happy to be. I am like a complete freakazoid. I have lots of weird things and I'm like, oh my gosh, oh my gosh. But you call me Good and just walk me through all of it and I'm like, hey, I think we need to fill it up. And you're like but we don't, yes, so I settle, because I'm like fake, fake, fake, which is so bad, but I know it's not, you know, it's not, it's you know, thank you you.

Kasie Yokley:

It so everybody should come to premiere and find their person. I might share care with you. That's highly debatable, I don't know, but I love you. Thank you for coming in. Premiere is amazing 19 years it's really 20, but you've been there, yes I've been there 19, so wild, yes, but thank you for having me.

Kara Richardson:

And also, just um, one of the things too a podcast, dr podcast, dr Clifton has got All Things Skin, if you look it up, and there's some great information on those podcasts too.

Kasie Yokley:

Aesthetically and for dermatology, oh yes, and it's both sides, so both sides of the office are fantastic. So, yes, go listen to Missy's podcast. All Things Skin and Kara. Again, thank you so much. I appreciate you a ton, thank you, and thank you so much. I appreciate you a ton, thank you, and just thank you for joining us today. I appreciate you and we are always trying to inspire a culture of giving. Thank you.