How Women Can Navigate Aesthetic Procedures, from Injectables to Labiaplasty, Safely & Confidently with Dr. Tali Arviv
In this episode, Dr. Tali Arviv, board-certified in internal medicine and practicing cosmetic dermatologist, breaks down the world of aesthetics through a grounded, honest lens. She and Spencer Moore talk about why women seek aesthetic procedures, how confidence shapes our choices, and how to navigate the overwhelming amount of information surrounding aging, injectables, and cosmetic surgery.
Dr. Arviv explains what women should know before getting Botox or fillers, the rising demand for labiaplasty, and how media impacts how we see ourselves. She also sheds light on the role hormone therapy can play during menopause and why internal health matters just as much as what we do on the surface.
This conversation is all about clarity, helping women make informed, empowered decisions about their bodies, their health, and their confidence.
KEY TAKEAWAYS
- Women pursue aesthetic procedures for many reasons, often tied to confidence and self-image.
- Confidence can change how we move through the world—and how others respond to us.
- Expectation management is essential in any cosmetic treatment.
- Botox is now widely used as a preventative tool against wrinkles.
- Aesthetic procedures can offer both physical and emotional benefits.
- Labiaplasty is becoming more common as women seek comfort and confidence.
- Social media deeply influences body image and beauty standards.
- Thorough research and choosing a qualified provider are non-negotiable.
- Hormone therapy can support women through perimenopause and menopause.
- Prioritizing self-care strengthens both confidence and overall well-being.
TIMESTAMPS
00:00 Introduction to Aesthetic Medicine
00:07 What Women Are Really Concerned About
02:51 How Confidence Shapes Our Aesthetic Choices
05:29 Social Media & Beauty Standards
08:02 Trends in Cosmetic Procedures
13:04 The Science of Botox
16:08 Safety & Risks of Injectables
17:31 Labiaplasty: What Women Should Know
22:51 Culture, Body Image & Surgery
23:43 How to Choose the Right Surgeon
31:53 Understanding Cost vs. Value
36:25 A Holistic View of Women’s Health & Aging
39:55 Making Time for Self-Care
41:50 Why Self-Care Matters
43:46 Hormone Therapy Explained
46:49 Benefits of Hormone Replacement Therapy
52:10 Treating Hormonal Facial Hair
MORE FROM DR. TALI ARVIV
Arviv Medical Aesthetics on IG
EXPLORE MORE FROM THE HAIRY CHIN:
Transcript
Dr. Tali Thank you so much for joining us today on the podcast. We're so happy to have you here.
Dr. Tali Arviv (:Hi, how are you?
Spencer Moore (:I'm very excited. Let me introduce you. This is Dr. Tali Arviv. She is a board certified physician in internal medicine and she has been practicing cosmetic dermatology for the past 12 years. And welcome. Today we're going to talk about aesthetics. I'm so excited.
Dr. Tali Arviv (:Yeah, very exciting.
Spencer Moore (:So
you have been practicing cosmetic dermatology now over 10 years. What, this is a very general question, but let's just dive into it. What are women really worried about when it comes to aging and cosmetics in that regard?
Dr. Tali Arviv (:Yeah, different things, right? Women come in to do aesthetics for different reasons. And some women...
don't think they need anything and they're happy and confident in their looks. And some women, they're in the industry, they're looking for a job, they're coming in because they have events coming up, they have reunions, especially around the holidays. Well, I haven't seen this person for this long and they just wanna look good so they can feel better about themselves.
So I think most women are seeking that out. And then there's the not great stories of, you know, my husband, I'm going through a divorce. ⁓ And then they feel like they need to improve something physically to feel better about how they look. But sometimes it's... ⁓
Spencer Moore (:bright.
Mm-hmm.
Dr. Tali Arviv (:It's not necessary. I think you just, you just need to do it if, if it makes you happy, great. there's some, you know, there's something to be said about like women generally feel more confident when they're, when they think they look better, right? Than, than if, than if they're self-conscious about something.
Spencer Moore (:Right.
Yes.
Right, right.
Right, right. Because I do think it's nice to have the option, you know, if there's something that you really feel self-conscious about. I grew up with somebody that was very self-conscious about the way that her nose appeared. And when she was 18 years old, she decided to have surgery to change the appearance of her nose. And it really just made her feel so much better about herself. I mean, it it shifted a lot of things for her. And it's not to say that it was necessary. It was a, you know, it wasn't, um,
She didn't have breathing problems, she didn't have a deviated septum, but it was a path that she went down. It worked really well for her. So I do think that options are nice to have, for women. But I do think that it's important to understand that there are risks, and we'll talk about that later, kind of about some things to learn about the risks of these types of procedures and operations. ⁓
Dr. Tali Arviv (:funny
that you mentioned the nose thing because then we'll see famous actors that have not great noses, but because they are who they are and they display a lot of confidence, right? They look good to us. They're, good looking because of that. So, you know, we find kind of their unique beauty despite
Spencer Moore (:Right.
Yeah, yeah.
Right.
Dr. Tali Arviv (:you know, just looking at an isolated, well, you have a crooked nose, right?
Spencer Moore (:Right, right, right.
So confidence really does spill out. I confidence says a lot, right?
Dr. Tali Arviv (:It does,
it does. And you don't have to really, I feel like you don't really have to look good for someone to think that you're beautiful when you have that energy.
Spencer Moore (:Right? Yeah.
Of course. Of course. Now, when you have patients that come in, do you talk to them about kind of this acceptance of their body? And do these conversations happen in your clinic when you're talking about doing these aesthetic procedures?
Dr. Tali Arviv (:⁓ all the time. We have patients sometimes that they want to fix something and I'm like, there's nothing to do there. It's fine, just be happy with it. You really don't need to do anything there. Even sometimes thin girls that want to remove just that little extra fat and I'm like, just have a little pinch of a skin there. There's nothing there.
Spencer Moore (:Yeah.
Dr. Tali Arviv (:and sometimes it's not, like you said, there's risks, so sometimes it's just not worth doing something because, yeah, and even this applies to kind of surgery. If you're not gonna really get that significant better outcome, then why even do it? You're gonna spend a bunch of money, you're gonna do a procedure, and then the change is not gonna be satisfactory enough.
Spencer Moore (:Right,
so I guess there's...
Dr. Tali Arviv (:that it was worth
the risk and the investment.
Spencer Moore (:Right, right. So there is managing expectations, I would imagine, is kind of a big thing of, right. Do you think that now, I mean, I can't help but think about Kris Jenner. Kris Jenner had a, obvious she had a facelift, she had work done, she looks younger than her daughters. ⁓ Do you think that there is kind of this impossible standard that's being set for women and aging?
Dr. Tali Arviv (:Exactly. 100%.
Sometimes there's definitely some things out there on social media that is trends, let's call them different trends that are making people think they can have a certain look that is gonna be harder for them to achieve because of the shape of their face or their anatomy.
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:but at the same time, I feel like the exposure of these things to now this younger generation, they're a little bit more on top of the aesthetics and beauty and image that I'm sure that if, you know, when I'm whatever 60, seeing these.
Women in their 40s later on right now. They're in their like 20s and 30s. I'll see them in their 40s or 50s They're not gonna look the same as the 50 and 60 year olds that I'm managing today and I think part of that is because of You know the social media your face is everywhere. It's not ⁓ It's not the same I was just telling my husband this morning like it's so cool that my kids are gonna get to see videos of themselves when they were little of who they were and how they spoke
Spencer Moore (:short.
Bye.
Right.
Yeah
Dr. Tali Arviv (:and what they said, which for me mostly it's like static images and probably the earliest video that I can remember of myself is when I was like maybe eight or 10. So it's not like I didn't really get to see myself as a baby. But you know now people have you know full view of everything.
Spencer Moore (:Mm-hmm.
Yeah, sure.
Dr. Tali Arviv (:and you can see anyone, anywhere, anytime. And so, yeah, people are definitely influenced by looks and images and Zoom meetings and how do I look in the camera, right? Especially after COVID.
Spencer Moore (:Yeah.
Mm-hmm.
Sure. Yeah, and filters.
Well, yeah, sure. And then also, know, social media with all the filters that you can, you know, kind of change your appearance. I know that there was a lot of conversation around Madonna for a while because all of her photos were really heavily filtered. And it was like, but what does she really look like these days? People hadn't seen her really out and about. You talked about trends. And one of the things you and your business, which we'll talk about later, your clinic has a social media account, Instagram account.
Dr. Tali Arviv (:Mm-hmm. Mm-hmm. It's true.
Mm-hmm.
Spencer Moore (:And you're talking lately about some trends with fillers. And I think this is interesting to kind of think about, know, fillers were such a big thing for a while and they were getting, these celebrities especially, there was a lot of talk of when they would kind of get overfilled and they would have these swollen faces and then they started dissolving them. Do you find that there are a lot of trends like this that are kind of...
Emerging and picking up and becoming really popular and then people go wait a minute. Maybe I don't like this anymore I want to go back to the way my face was
Dr. Tali Arviv (:Yeah, absolutely. are a few patients that I've treated in the past that are like, just kept filling and filling and I was focused on this one little crease and one little thing. And then before I knew it, I guess her dad said, you look like a pillow face. And that's when it kind of hit her and she's like, I got to dissolve everything. But it's not, I think more people want to look natural and you need to do more of a natural correction and you don't have to look fake. But at the same time,
Spencer Moore (:Yeah.
Dr. Tali Arviv (:you know, fillers have gotten a bad reputation because people are getting overdone and sometimes you don't notice your face changing because you're doing it gradually, right? So you're putting one or two syringes and you kind of get used to the look and then you come back in and you do a little bit more and you do a little bit more and before you know it, you don't look like yourself at all. You can really make pretty significant changes.
Spencer Moore (:Hmm.
Mm-hmm.
Right.
One thing I didn't mention earlier that I wanted to is that I do think that there's some really ⁓ beautiful ⁓ practices with aesthetics that can be done. For example, I know that there's a woman who specifically works with cleft palate patients with fillers, and she corrects cleft palates and the lips in patients.
Dr. Tali Arviv (:Mm-hmm.
Spencer Moore (:I mean, cosmetically, completely changes them. They turn into these completely new, different people ⁓ with their confidence. So I do think that there are really amazing things that can happen to a person when they kind of feel like they just fit in the body that looks on the outside, the way that they feel on inside, it matches. ⁓ And I do think that sometimes aesthetics gets a bad rap of being
Dr. Tali Arviv (:100%.
Mm-hmm.
Spencer Moore (:fueled
by the ego and being kind of this plastic, being vain, being vain, right? But, you know, it's like I said, I think options are very important. ⁓ And, you know, women have a lot of pressure on them for their external appearances. so I do think that it's...
Dr. Tali Arviv (:You're being vain.
It's true. And we do
consider that whether we want to judge people by the way they look or not, it's just something that I think the brain is programmed to do. If you're hiring someone for a job and if they're like a front desk.
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:patient-facing position or there's just things that certain sales reps, even realtors sometimes come in to me and they're like, I'm a realtor and I have to look good for my clients. They feel like it makes a difference for them in their business. So that does kind of influence the way we think and what we think we need to do.
Spencer Moore (:Right.
Of but I do also think it goes back to what you mentioned earlier of, you know, it's about confidence. It's about how you feel. It's about how you present yourself, you know, and kind of, I do think that you can do a lot of things on the outside, but if you don't have that internal confidence, if you don't work on your internal self-esteem, it doesn't matter what you do on the outside. It's never gonna match. So I do think that it's necessary to really focus on
Dr. Tali Arviv (:Mm-hmm.
Right.
Spencer Moore (:feeling good about yourself no matter what you look like, know?
Dr. Tali Arviv (:It's true.
Spencer Moore (:I know you do a lot of injectables in your clinic. And I want to talk about Botox. Botox has become kind of really common. A lot of women get Botox these days. And it's kind of sold as this preventative treatment for wrinkles. It paralyzes the muscle. Is it really preventative?
Dr. Tali Arviv (:Mm-hmm.
It's funny because I, yeah, so this is a perfect example. So I went, you know, I grew up in Israel and went to high school there. And so, you know, some of my best friends is who I really keep in touch with. And when I went back there, right before I had my son, I was like 35, 34, 35 years
Spencer Moore (:explain that.
Dr. Tali Arviv (:And I obviously started doing Botox a little bit before that, probably like my early 30s going into the industry. And my friends who've never done Botox, but we are exactly the same age, just had so many lines, so many crow's feet. And it doesn't mean they're still not beautiful women, but I was like, wow, you just, look...
Spencer Moore (:Mm-hmm. Right.
Mm-hmm.
Dr. Tali Arviv (:older than me because just of those lines. And so to me was maybe because I'm also, this is part of my profession, it was more noticeable to me maybe it would be to somebody else. But I think it definitely is preventative in that respect. So if you're trying to prevent wrinkles, it does kind of help.
Spencer Moore (:Right, right.
Mm-hmm.
Dr. Tali Arviv (:Give you a smoother more youthful look ⁓ Then then you would if you have a little bit more wrinkles and naturally you think the patient's a little bit older and maybe they still look their age with wrinkles but and I don't think you have to really Overdo it to have the preventative effect like I don't personally Go in and do my Botox every three months and make sure I'm completely frozen No, I actually treat myself, you know pretty conservatively like you can still see, you know, I'll have some movement
Spencer Moore (:Mm-hmm.
Right.
Dr. Tali Arviv (:and I don't ⁓ hate having movement, but I can still prevent the wrinkles from coming in just by kind of maintaining even like once or twice a year and doing some kind of medium dose. And a lot of patients are kind of going that route. They don't want that look of just, you know, they want to have some movement without really creating those deep creases.
Spencer Moore (:Mm-hmm.
Mm-hmm.
Sure, sure. so there still are ⁓ side effects, there still are risks with Botox. Do you wanna talk about kind of, if a woman were to be going into a clinic, before somebody touches her face, before somebody puts a needle in Botox, and we're gonna talk about kind of the risks of surgery in a little bit, but let's just talk about kind of injectables in general. What information is really important for a woman to share from a medical perspective? Like if they have any sort of illness or disease, I mean,
Dr. Tali Arviv (:Mm. ⁓
Spencer Moore (:you're still putting something inside somebody's body. So I'm just kind of curious of the due diligence of going and getting Botox done. What would you share about that?
Dr. Tali Arviv (:So I mean, some of the things we screen patients for is obviously pregnancy and breastfeeding because we know that some of that neuromodulator neurotoxin really it is can potentially be secreted through the breast milk. And if we're, know, breastfeeding in those first year of life potentially cause harm to the baby, obviously, because it's a neurotoxin. So it could cause anything that shuts down the nerves, right? In terms of paralyzing.
Spencer Moore (:Mm-hmm.
Mm-hmm.
Sure.
Dr. Tali Arviv (:And also we kind of ask about certain neuromuscular disorders. So if patients have, ⁓ know, myasthenia gravis is one of them, where they already have an issue with their acetylcholine release and it just kind of makes them a little weaker and weaker, then those are patients that are not very good candidates. ⁓ Surprisingly, there's a lot of things that you would think,
It could be a contraindication, but it's not. So some people have like a Bells Palsey where you, you know, have kind of a little bit more paralysis, a weakness on one side of the face. And a lot of times people come in to do Botox because they want to make their face more symmetrical. Since if their brow doesn't lift on one side and only one side always lifts, they feel like it looks a little funny every time they make facial expressions. So they might actually come in for things like that.
Spencer Moore (:Mm-hmm.
Mm-hmm.
Dr. Tali Arviv (:So there's not like too too many major contraindications. Overall, it's a safe treatment that's been done for years. I think like since the 1980s we've been using Botox. So, and I've, I mean, I've treated thousands of patients with Botox and I really very rarely see complications. I'll tell you what I have seen. I've seen one patient with full body hives,
Spencer Moore (:Mm-hmm.
Mm-hmm.
Dr. Tali Arviv (:and that is one patient in 12 years. It was one of the newer neuromodulators, fortunately it was a staff We were like, okay, we're gonna try Daxify, you know, and she just had a full body hive. She tends to be a little sensitive, like every time she does something. So if you're one of those people that tends to have general, like generally reactions to things, you might kind of be a little more cautious, maybe do a test spot, things like that, where you don't have to do a full dosing.
Spencer Moore (:Mm. Mm-hmm.
wow!
Sure. Mm-hmm.
Dr. Tali Arviv (:risks with Botox sometimes have to do with injector as well. So where you're injecting, where you can get like lid ptosis if some of the toxin migrates into eyelid muscles or brow drop where it just looks a little bit lower, or you feel heavier, you can get headaches. All those things can happen, but they can also be prevented. And sometimes,
Spencer Moore (:Mm-hmm.
bright.
Dr. Tali Arviv (:One patient had called me about just kind of very like allergic type reaction, dry eyes, like the skin around her eyes was very dry. And the only other one was some patient called me about a viral illness type symptoms. So they were...
Again, I don't know if it's coincidental that it happened post-botox treatment or not, but it is on the long laundry list of side effects that could happen with botox. And it's a very long list. The majority of those things don't really happen, but yeah, those are things that I guess you would have to consider. The good thing is it goes away after four months. It's out of your system, and if you hate it, you don't have to do it again, and you're not stuck with the botox.
Spencer Moore (:Mm-hmm.
Sure. Sure.
Mm-hmm.
Dr. Tali Arviv (:Of course, if you're injecting the wrong muscles, you can also have funny like, you know, a funny lip or funny, um, know, expression.
Spencer Moore (:Right.
. And it says that in between: Dr. Tali Arviv (:Mm-hmm.
Spencer Moore (:there was an increase of 217 % in the labiaplasty procedure. So more women are asking for this procedure, and I would love for you to explain what it is and kind of what your experience is with women in your clinic asking for this.
Dr. Tali Arviv (:Mm-hmm.
Sure, so labiaplasty is a simple procedure that's done ⁓ to the labia minora. So, you we have the big lips where most of the fat is in the vaginal area. And then we have smaller lips. Not everyone has those smaller lips, but they can be different lengths and different shapes and different sizes. And they tend to, and the women who are coming to get labiaplasty are basically wanting to trim down the labia minora, which tends to stick out a little bit.
it. In some patients, it's a lot. In some patients, the labia minora is a little bit thicker or there's a lot of asymmetry where they just have one labia minora and the other one doesn't exist. So they don't like that there's just one and there's asymmetry. I think naturally, beauty in general, symmetry is part of...
beauty, even when we're correcting the face, right? We're always looking at symmetry. ⁓ And it's really the same thing down there. Sometimes women just look at, you know, they want to be more symmetrical. But the majority of women that are coming in, it's not only that. They all complain about the cosmetic side, could stem from, you know, images.
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:of what the vagina should look like, right? How the labia should look. It could be part of it as that. But a lot of them also complain about, you know, if it sticks out from clothing, if they wear a smaller bikini, if...
Spencer Moore (:Right.
Dr. Tali Arviv (:you when they stand up, they see kind of the bulging because it hangs down. And so they might be a little more self-conscious with their partners. Or ⁓ if they're working out, they might get some irritation because surprisingly, a lot of the women that come see me are married women. So they're not women that are doing it for really anybody else but themselves. They've been married, they've had children, and they're doing this after that, ⁓ wanting to
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:to kind of achieve some type of improvement and they'll reach out and say, I've been thinking about this forever and I just saw your ad on Facebook or your post on social media and they're comfortable, obviously, that it's a female to kind of call you and talk to you about it. So very low risk, it's done under local anesthesia, which is great, so you don't have to be under for it. And I think that... ⁓
Spencer Moore (:Mm-hmm. Yeah.
Mm-hmm.
Dr. Tali Arviv (:and women are they they have a pretty high satisfaction rate post procedure. ⁓
Spencer Moore (:Mm-hmm. I was reading also, kind of doing some research about this procedure and you know some women it appears ⁓ have painful sex. It can interfere with them having sex. They also can get more infections if they have kind of larger areas there and so there are more, there are physical reasons to have it that you know impede in their physical with their body. I was curious about, you were saying that there are images and kind of the way that the female vagina should look and
I'm curious as to your just opinion of this,
Dr. Tali Arviv (:Mm-hmm.
Spencer Moore (:You know, but do you feel that kind of
pop culture and porn have affected the rise in the women asking for labiaplasties?
Dr. Tali Arviv (:I guess the question is how many women watch porn and how, you know, I think we do sometimes look at naked images. I mean, I personally don't really watch porn, but there's nothing wrong with it. But it could be. don't. It's hard for me to say if that's really something that impacts women as much just from the pornography world because.
Spencer Moore (:Yeah, there you go.
Right.
Right. Well, I guess for...
Dr. Tali Arviv (:Maybe if you're an aspiring ⁓ star,
you know, or the only fans, I don't know. Then maybe.
Spencer Moore (:Yeah.
Right, OnlyFans, yeah, right, I forgot about that too. Yeah, I mean, it's
not to say that all of us are kind of comparing our bodies to porn stars, but I just do feel like that there is, you know, there's so much more access now to images of what bodies should look You know, and earlier we were talking about kind of comparing external features to celebrities or the way women's faces should look or foreheads should look, but.
The labia is not really exposed. We don't walk around with an expo. We don't go to the beach and compare our labias to other women in swimsuits. so for me, it's interesting to think about this really sharp increase in the past 15 years or so and kind of what has accompanied that in our culture. And I think access to the internet and all of that is women are now comparing their private parts.
Dr. Tali Arviv (:Mm-hmm. Mm-hmm. Right.
Mm-hmm, right. ⁓
100%. Women didn't even
know that that's a procedure. There's women who call me and say, I didn't even know that that procedure exists. And it's something that they've thought about like, ⁓ I wish that, you know, I could have my labia look this way or that way, but they didn't even know that labiaplasty was an option. So definitely the internet plays a role in the rise most likely of those procedures.
Spencer Moore (:Right. Right.
Right, right.
Yeah,
I do find it interesting that a lot of your, as you mentioned, that the women that come in are married. It's not like they're single and they're going out and they're self-conscious about how they look to meeting new men in that area. They're married single, married women. ⁓ So that to me is quite interesting. While we're talking about procedures and surgeries and things like that, I would love your take on just...
Dr. Tali Arviv (:Yeah.
Spencer Moore (:your procedures, like you said, this is done under local anesthesia, the labiaplasty, the injectables, they don't need anesthesia. But if we were going to talk to women about more ⁓ plastic surgeries going under anesthesia, what would you share with women? We talked about due diligence before you get injectables. sometimes I don't think if you don't come from a medical background or if know it's which a lot of women are getting these procedures done and maybe they're not 100 percent.
educated about all of the risks. So what would you recommend to a woman if she was going to look for a physician to do this type of work?
Dr. Tali Arviv (:First, you need to...
research the procedure. There's enough information at your fingertips to understand ⁓ what the procedure entails, how it works. A lot of times there are different ways to do a procedure, like there are different ways to do a breast lift, right? You can have the lollipop scar, you can have the anchor scar that, you know, the scar goes down under the breast as well. Even implants you can do from axillary, can do, you know, in from memory under
Spencer Moore (:Mm-hmm.
Mm-hmm.
Dr. Tali Arviv (:there. So there are different ways to do procedures. So I think it's important to understand that as well and ask your surgeon about the different ways that they do the procedure. That's one ⁓ kind of the main thing about just being prepared for the procedure is researching well what how you know what do need to do at before and after so you're not planning things inappropriately around surgery. Reputation is important.
I think, of course, reading reviews and all that, have kind of little story to tell you about that when we go back to reputation, but I think it's also important to just go in, have an in-person consultation or a Zoom consultation. If you can do it in person, I think it's way better. You can get a vibe for the office, the team, and just...
Spencer Moore (:Okay.
Mm-hmm.
Dr. Tali Arviv (:understand how they work, what their process is, and the most important thing is you want to trust the doctor that you're working with. You want to trust that he's making a good decision on what facilities he's doing his surgery
of times people pay a facility fee separate from the surgeon's fee in order to do surgery and that facility fee also includes anesthesia. So who is my anesthesiologist? You know, is it a nurse? Is it a doctor? How long have they been an anesthesiologist? You know, I talk about because you know, we have the surgery center. Well,
A lot of times, like if you have most surgeons, if they're good surgeons, you're gonna get a good outcome. You're gonna get a good, you know, your results are gonna be nice. The question is when, excuse my language, shit hits the fan in the OR, something happens, because there are risks with any surgery. You know, who is in the operating with you? Who is going to make sure that you walk out of there safe is also important. So I don't think we always ask those questions because, you know, we trust the provider that we're working with.
Spencer Moore (:Mm-hmm.
course.
Dr. Tali Arviv (:with and obviously surgeons want to work with the right people as well. And my surgeons to some extent have a choice of who they work with, but we as a surgery center do our own due diligence on who we bring on board. And we prefer to work with more experienced people, even if there's a little bit of a premium that we have to pay for that.
Spencer Moore (:And I think that it's really important also to think about it's a team that will be doing these types of surgeries. So anesthesia, anesthesia is a really complex thing. I think people sometimes think like, it's just, you know, they're putting me to sleep, but anesthesiologists get paid, I think the most of any doctor because it's really, really complex. ⁓ And I like this concept of you saying, you know, yes, if the doctor has a good reputation, you know, it could be a good outcome, but if things get complicated in there.
Dr. Tali Arviv (:Mm-hmm.
Mm-hmm.
Right.
Spencer Moore (:who's in the team that is gonna really ensure and work together to make sure that I make it out, you know, walking out of the center.
Dr. Tali Arviv (:things just happen that sometimes you don't expect them to happen and it's a little bit out of your control. And the other thing is make sure you get good clearance. Like talk to your primary care doctor, talk to your cardiologist, whoever is taking care of you, talk to them about the surgery that you wanna do because they might think of something that you should consider or test before a surgery.
hey well before you do that surgery I really want you to do an EKG or chest x-ray or whatever blood work we need to do right we check kidney function we check your blood count make sure you're not too anemic depending on the type of surgery there's going to be things that we want to check before to make sure you're as healthiest and safest going into the operating room
Spencer Moore (:Can you explain what board certified means and kind of when you're looking for a surgeon, what the importance of that is?
Dr. Tali Arviv (:Yeah, so board certified basically means that, you know, obviously the surgeon went through all the training relating to that specific specialty.
but also that then they took a general exam that showcases essentially your knowledge, right? It tells you, it says that the person has passed the exam and has been board certified because they passed that exam. You can be board eligible, meaning you've completed the criteria in that training. So you completed your three years of training of internal medicine, you're board eligible, so you're eligible to take the board exam, but doesn't mean you took the exam.
Spencer Moore (:Mm-hmm.
Mm-hmm.
Mm-hmm.
Dr. Tali Arviv (:You
Spencer Moore (:Sure.
Dr. Tali Arviv (:know, the boards tend to be just tests that kind of keep up with, you know, gold standard protocols, medications, safety, different things that they're going to question you about to make sure that you're taking certain things into consideration that apply to that specific specialty. I think with...
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:Don't take my word for this, but I think with plastic surgeons, just do one board certification, but I mean, they're practicing plastics, they're practicing surgery. Most of them are double board certified, so they've been certified in general surgery, which is, and then they also get board certified in plastic surgery.
Spencer Moore (:Mm-hmm.
Okay. Earlier you had talked about that you had a story about reputation. I would love to kind of circle back to that and let you tell that story.
Dr. Tali Arviv (:Yeah, yeah.
So I had a friend who was like, my God, I love this surgeon's technique ⁓ of how he sutures in the breast. And so five-star reviews, you know, I'm gonna go there. And so she went there to do her breast lift ⁓ and then...
Spencer Moore (:Okay.
Dr. Tali Arviv (:everything was fine and then a few weeks later, and then she said that her post-op, meaning immediately as she exited surgery out of the OR, they usually put you into recovery, you make sure the patient wakes up, make sure that they have urinary output, things like that, every, you know, that should be kind of some kind of standard, but she just said that she was the second case of the day and she felt just like rushed out the door. And then...
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:she developed an infection and they were just like, you know, that they didn't really do anything about it. They were like, okay, you know, you're fine. So I ended up prescribing her antibiotics, ⁓ you know, just as a precautionary to make sure that nothing happens. So she doesn't have any like wound issues and complications post-op, but it just means that sometimes like five stars isn't always, you know, ⁓
Spencer Moore (:Hmm.
Mm-hmm.
Hmm.
Sure.
Right.
Dr. Tali Arviv (:I don't even know if I fully believe in five stars because I feel like it's hard to make everybody happy. I'm not saying there aren't fully five star people out there, but even some of the best surgeons that I personally know, whether their client puts a review or not, sometimes they find something to complain about.
Spencer Moore (:Yeah.
Sure.
Yeah, yeah.
the physicians and all of you, you're not operating on dolls. These are people, and there's so many variables. I mean, could be, and of course, and so I mean, it could be that some of these things are perhaps not the surgeon's fault. ⁓ Perhaps they could be. mean, one thing I'd love to talk about is a bit of costly versus cost effective and kind of preventative treatments versus kind of.
Dr. Tali Arviv (:Yeah, we're complex.
Spencer Moore (:doing a full face lift, you know, we're talking about Botox. also, you know, there are a lot of women that travel other places, perhaps they go outside of the country of the United States to get cheaper alternative procedures done. So, I mean, that's a very broad question, but I would love to kind of touch on a few of those points if you can.
Dr. Tali Arviv (:It's funny that you
mention that because I always, you know, one of the challenges in aesthetics is the neck.
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:You could do a lot of things with
Spencer Moore (:Sure.
Dr. Tali Arviv (:the face, but the neck is just very hard to correct skin laxity. And some patients, it's like you really need surgery at this point, right? We could put threads in, we could do energy modalities and try to shrink the tissue, heat up the tissue, but we're only gonna get so much results. And sometimes I tell patients that are kind of like on the younger side, I'm like, okay, well, you can start spending $2,000 a year on your neck for 10 years, which is about $20,000.
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:or you could just don't do anything and save up in 10 years to do your $20,000 face lift, mean neck lift. Do you know what I mean? It's like if you're trying to avoid surgery.
Spencer Moore (:Mm-hmm.
Right? Right.
Dr. Tali Arviv (:you can do some things to prevent it now by upkeeping, but that's about, you know, the value in terms of, I would say, even per area that you almost kind of have to maintain depending on, of course, genetics, your health, your skin type, how much sun exposure you're getting, what else you're doing, smoking cigarettes, right? All those things are going to change the how quickly you're aging.
Spencer Moore (:Sure.
Dr. Tali Arviv (:but that's kind of one way to think about it. And then I have patients who are like 65 and they need a facelift. And I'm like, there's only so much I can do at this point. Like we can do things. You're gonna spend a good penny on it. And then the question is, well, why aren't you just doing the facelift if you're planning on doing it either way and you're just trying to push it another year, another two years, another three years?
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:Well, every year you're gonna spend two or $3,000, that's practically half of your facelift, why not enjoy it from 65? Why do you wanna wait till 70 to enjoy your facelift? Plus, the more you age and the more risk you have, right, as well. So it's like if you're at a stage where you're a good candidate for surgery and you're open to surgery, right, you also have to be open to it, I'm not saying it's the right answer for everyone.
Spencer Moore (:Sure.
Mm-hmm.
Right.
Dr. Tali Arviv (:⁓ You have to, some patients are like, I'll do anything but I won't do surgery. Great, let's just focus on the non-surgical plan. But if you're like, yeah, I'm gonna do surgery for sure, I'm gonna pull the trigger, then you have to kind of decide, well, at what point ⁓ is it just worth it to just pull the trigger and enjoy those ears looking the way you wanna look rather than.
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:and spending more money to not get 100 % the result that you want, but you're gonna spend that money anyhow, you know, later down the line.
Spencer Moore (:Sure.
Sure.
It makes me think of asking you of kind of when is too early to start kind of preventative and start these kinds of things and then also on the other end of that when is too late? You know, like are there people coming to you that are 75? They're saying I want a facelift and you know, like make me look 25 years younger and it's like, but like you said, you know, the older you get there may be more complications. So what kind of, what does that spectrum look like to you?
Dr. Tali Arviv (:late is not as, if you're too late, then the main thing you have to consider is having realistic expectations of what can we do at this point, right? That's the late part. So it's not, it's really ever too late. Yes, we can try to treat wrinkles, we can try, but you might not get as good of a result as if you started earlier.
Spencer Moore (:Mm-hmm. Mm-hmm.
Dr. Tali Arviv (:And then as far as too early, so too early is kind of challenging to say, so I think if it comes to specific things like Botox, right, ⁓ you don't really need Botox unless you're really starting to see those etched lines. You don't really have to do it before you're noticing some of those. When they're very fine etched lines and it starts to bother you, then you can potentially start, and I don't even really think,
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:Most women probably before the age of 30 don't really need any neuromodulators, maybe even 35. But I have some women that it's like, you're perfect, but they just don't want this one little thing and they're 25. And I'm like, it's really not necessary. When it comes to fillers, again, it's really about volume loss. But some, again, when it comes to fillers,
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:we're doing different things. So we could be doing lip augmentation and if I have really thin lips and I'm self-conscious about if you're over 18, you can do lip fillers. If you're under 18,
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:Parent consent, right? They have to be okay with it.
Spencer Moore (:Mm-hmm.
right. ⁓ One of the other areas that you work on in your clinic is with kind of the whole woman approach, ⁓ hormone therapy and nutrition and things like that. And so, you know, we're talking about women aging and there's things that you can do on the outside to kind of curb the aging process, which happens to everybody. mean, time doesn't stop for anybody. So everybody's going to age. But what about
the inside part. I mean, we talked about the emotional aspect of this, but just in terms of women taking care of themselves. A minute ago, you talked about sun exposure and smoking cigarettes. would imagine drinking alcohol as well makes a difference. do you feel like women are taking good care of their bodies on the inside, or are they just coming to get the outside tuned up? and fixed?
Dr. Tali Arviv (:Yeah, I think a
A lot of women are just coming to get the outside tuned up and fixed. But I think generally, society's becoming more more health conscious. Obviously, at some point, it was like you can't smoke indoors anymore, right? can't smoke in certain places. And so I think that played a big role in ⁓ smoking sensation for a lot of people. And people are more conscious about, well, drinking for plastic and putting other...
Spencer Moore (:Mm-hmm.
Mm-hmm.
Dr. Tali Arviv (:non-organic or healthier things rather than processed foods in their bodies. So I think as a society as a whole, we're becoming a little bit more health conscious. But I think changing internally and the discipline that comes with it is challenging for everyone.
I mean, we're in kind of like this, I want to call it like a weight loss pandemic where everyone's trying to lose weight, whatever it takes to lose weight and everybody just wants the magic pill. They want the magic pill. They want the magic shot. They want the magic liposuction. They don't want
Spencer Moore (:sure.
Mm-hmm.
Yeah. Yeah.
Dr. Tali Arviv (:to do the work that it takes. and some people are doing the work and they are trying and that in those cases like they're really doing everything. They have the nutritional support, they have the exercise regimen, they have and that's still not working for different reasons. You know, hormonal imbalances and...
other concerns that they might need that little extra support, but I think a lot of people who don't necessarily have a BMI of, I think, Ozempic, it's like you need to be over 27. They don't have a BMI of over 27, but they just need to lose that one little here and one little there. And it takes discipline and time. And that comes to...
Spencer Moore (:Right.
Right?
Dr. Tali Arviv (:What I was kind of telling you earlier about, I'm gonna have to block my schedule for my three days a week Pilates because if we don't manage our time well and it's challenging, especially for women, mom, you're working, you have to pay the bills, you have to take care of the kids, you have to do a lot of things, then when do you make time for yourself?
Spencer Moore (:Yeah.
Mm-hmm.
Right, right.
Dr. Tali Arviv (:and that's something that
you have to be disciplined to do. If I don't meal prep, I might not eat for the whole day until dinner. If I don't get somebody to order lunch or if office isn't ordering lunch, and then if they are, what are they ordering? Is it really the best choice for me, right? So those are things that require that extra effort.
Spencer Moore (:Mm-hmm.
Right.
Mm-hmm.
Dr. Tali Arviv (:And
it's hard and it's a challenge. so working on yourself internally, I think for everyone is, there's everyone needs something. There's something that they're not 100 % about that they would want to be better that we need working on ourselves.
Spencer Moore (:Sure,
sure. Well, I mean, think there are lot of expectations placed upon women, you know, especially as parents, as mothers, as jobs, you know, families and all of this. And so it is hard to find that time. I think you have to fight for it. We said this off camera before I hit record is that, you you were fighting to find the time that you could get your exercise in per week because you were kind of caving to patients and work and different areas because you're nice. And you said, I'm too nice.
Dr. Tali Arviv (:Mm-hmm
Spencer Moore (:And I think women are kind of expected to be too nice. And that's something that you really have to push back against. ⁓ But I also I do feel that there are a lot of things that you can do to take care of yourself that will affect your outward physical appearance, like staying hydrated or getting enough sleep, ⁓ exercising, eating well. ⁓ All of these things will also help the outward appearance. It's not just...
Dr. Tali Arviv (:Mm-hmm.
Mm-hmm. Mm-hmm.
Mm-hmm.
Spencer Moore (:Botox might make you look good on the outside, but your body might be trash on the inside if you're not taking good care of it. Yeah, and...
Dr. Tali Arviv (:Right, right. And sleep,
I think we underestimate a lot. And sometimes they think we're up because we're thinking about so many things and everything that we need to do and trying to catch up while the kids are in bed. Well, let me just check up and catch up real quick, because this is my time. This is when I have a minute. Sometimes my husband's like, why are you on the phone all the time? And I'm like, I'm not on the phone.
Spencer Moore (:Mm-hmm. Yeah.
Dr. Tali Arviv (:Like all day, I'm seeing patients and doing other admin stuff and I'm not necessarily on my phone trying to play catch up. And at the end of the day, I'm like, crap, I have like 30 messages. So I'm trying to kind of go through everything. But yeah, we have only so many hours in the day. So.
Spencer Moore (:Yeah.
Right.
Yeah.
Dr. Tali Arviv (:You know, we have to kind of pick and choose how we're gonna spend those hours. Women as a whole, we definitely have to be more strict with ourselves about putting ourselves first because naturally, inertly, we are built to nurture and we nurture everyone else, you know.
Spencer Moore (:Mm-hmm.
Mm-hmm.
Yeah, of
course.
Dr. Tali Arviv (:the partners and we nurture the children and you know if you have a business you're nurturing your your staff your everyone your patients and so we really have to say well when is it about when is it going to be a little bit about me because I deserve that too.
Spencer Moore (:And I think that's important, that word deserve, because I have found in kind of doing this podcast and speaking to a lot of women is that a lot of women don't feel like they deserve it or that they're being selfish for asking for it. So in saying that I'm blocking off three hours in my schedule to do Pilates and it is you cannot touch these hours, how selfish is she being? She's not being flexible with her schedule. You need that time, you deserve that time.
Dr. Tali Arviv (:Mm-hmm. Mm-hmm. Mm-hmm.
Spencer Moore (:⁓ you know, taking care of ourselves is so important, mind, body, and soul, all of it. So, you know, I think that...
Dr. Tali Arviv (:Makes you a better person
for everyone else too. And that's part of that working on yourself internally that you can put the best version of yourself out to everybody else.
Spencer Moore (:Absolutely.
Yeah, of course. We were talking about hormones and kind of hormone therapy, nutrition, things like that. This week, actually, the FDA has now removed their black box morning for hormone therapy. ⁓ Menopausal women, this is really important for them to kind of help transition. Paraminopausal women, that's kind of this whole new trend now of women in their 40s and kind of transitioning into menopause. Do you want to talk about what you do? Do any thoughts about kind of hormone therapy? Do you think that this is important
for women that they've removed this black box warning.
Dr. Tali Arviv (:I think it's great. I think that there's a lot of ⁓ fear for lot of women around hormone therapy. And I, you we have these books in our office that teach people about hormone therapy. So I tell them, you know, if I talk to them and I say, hey, you're having these symptoms, like you should consider hormone therapy. And then I give them the book and I said, just read about it, like get comfortable, educate yourself ⁓ about the benefits and the risks of hormone therapy. And then you can make a decision.
Spencer Moore (:Mm-hmm.
Mm-hmm.
Dr. Tali Arviv (:for yourself as well, not just go by what I'm telling you to do, but...
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:I think now that could also open up other, I'd say, non-functional medicine doctors, because a lot of the functional medicine doctors are doing hormone replacement therapy. We believe in hormone replacement therapy. We personally do hormone replacement therapy for ourselves, for our family members. And now these other doctors that are maybe a little bit more on the conventional medicine side. ⁓
Spencer Moore (:Yeah.
Dr. Tali Arviv (:maybe we're a little bit more close to hormone therapy might be a little more open and say, maybe this is the right thing to do for this patient. Maybe I don't have to give you, let's say, an antidepressant to help you with your hot flashes or some other medication when I can just replace something that you naturally would have in your body to help you offset those symptoms, something that your receptors accept that your body knows how to metabolize.
Spencer Moore (:Yeah.
Mm-hmm.
Dr. Tali Arviv (:and it's something that you've always had and it also has all these other great benefits, right? So we're preventing osteoporosis and we're preventing dementia and helping with cardiovascular health. know, women will have increased risk of cardiovascular disease after they hit menopause, as their estrogen levels decline. And now we can, you know, stay ahead of that and not have them be at that increased risk.
Spencer Moore (:Mm-hmm.
Mm-hmm.
Yes.
Dr. Tali Arviv (:just by giving them that hormone therapy and I think...
One of the things that I noticed when I started doing testosterone therapy for myself and I do the pellets is that the first thing that I notice and this habit literally within like a week other than I'm a very high energy person already. I'm not like, yeah, I'm tired. I'm usually very high energy and I did notice an improvement in energy levels, but the main thing I noticed is that more like mental clarity. So if you, as you age, kind of say,
Spencer Moore (:Mm-hmm.
Dr. Tali Arviv (:what was I doing again? Or where was this again? And then suddenly you're just kind of noticed that you're just a little bit sharper and you can kind of stay on top of things a little bit better. But obviously all the other things internally that you're helping support your body with is super important to help also slow down the aging process and kind of be healthier as you're right? Because we're living longer. So we want to live
Spencer Moore (:Mm-hmm.
Right. Yeah.
Dr. Tali Arviv (:longer and we want to be healthier. There's not as much, it's not worth it as much if you're like an unhealthy, right? I'm 70, but you you can't walk, you can't this, can't, you're having all these medical issues where, you fractured your hip, right? Why do I have to fracture my hip at a certain age when I can prevent that by having these hormones?
Spencer Moore (:Sure.
Yeah.
course.
Dr. Tali Arviv (:strengthen my bones or reduce the reabsorption of the, you know, reduce my bump density.
Spencer Moore (:Sure.
Yeah, I think for me personally, I was really happy to see this. A black box warning just to mention, it's like the highest warning that the FDA puts on medication to say that there's this really high risk of ⁓ interactions and complications. That's correct, right? Yeah.
Dr. Tali Arviv (:Mm-hmm.
the serious,
what are the serious ⁓ consideration potential side effects of the medications.
Spencer Moore (:Right, right.
And personally, I was happy to see this. For me on my social media, my algorithm, saw it everywhere because it's very much what I look for. And having a history of early stage breast cancer, which was hormone receptive, it was 90 % estrogen and 90 % progesterone, I've always been told by all of my physicians that I would never be a candidate for HRT. It would increase my risk of recurrence exponentially. And they said, like, never ever touch it.
So this is interesting to me. think that, you know, in my research that I've done, there are a lot of women who have any sort of breast cancer history that are told run away from And, you know, I'm excited to kind of see where medicine takes women with breast cancer history in terms of hormone replacement therapy with AI and things like that, because I do think there are lot more options that will come for us. And there's just a lot more education to be done about it.
Dr. Tali Arviv (:Mm-hmm.
And you can do sometimes just even topical local estrogen that doesn't have as much systemic absorption, has very minimal systemic absorption. So you don't really have to suffer through all the menopause symptoms, but doing things to keep the mucosa healthier.
Spencer Moore (:Mm-hmm.
.
Dr. Tali Arviv (:and do other, you know, hormone replacement that you can work with a physician who's done the research and is comfortable managing you with your hormone replacement. So again, you can age healthier and you don't have to worry about, you know, I'm going to fracture my hip because I'm going through osteoporosis because I can't be on hormone therapy and I've been pretty much deprived of my hormones.
Spencer Moore (:Yes.
Right?
Right?
Right.
you know, I think for women, this is a real triumph that there's not so much fear around hormone replacement therapy now. We're moving this black box morning. I do think that it does mean that there's more...
into helping women age in a healthier way like you're saying. So I think it's really positive. Is there anything else you want to share with kind of just in general? Is there anything else you'd like to share?
Dr. Tali Arviv (:I mean, I think that kind of like some of the things that we talked about before just, you know, working on your internal self, help build your confidence, kind of help bring your, you know, internal beauty out. just don't, you know, it's not, it's not a bad thing to be like a little vain if it helps you feel better.
And I don't think that aesthetics is, ⁓ I mean, I love what I do. It is kind of like an art. It's kind of like a canvas for me. I look at the face and kind of see where that volume deficit is. And I do those little corrections and it makes me feel good when I have happy patients that are like, wow, then they see their before and after and they feel the transformation, but they still look like themselves. ⁓ They just look less tired and a little younger.
Spencer Moore (:Mm-hmm.
Mm-hmm.
Mm-hmm.
Dr. Tali Arviv (:and they're able to be more confident. But again, you don't have to do those things ⁓ if you're already happy with the way you look and you're confident about the way you look and you know, just work. Just work on yourself. What makes you feel good?
Spencer Moore (:Yeah, no, I... Yeah. Yeah,
no, I think that's perfect. And I also love the information that you shared about, you know, understanding that all of these procedures come with risks, and especially, you know, going under anesthesia and doing your due diligence and doing your research. But I mean, even if you find the perfect physician with the perfect reviews and the perfect surgery center, there still could be complications. It's just nothing is going to be...
absolutely perfect. So I think that's really important.
Dr. Tali Arviv (:Right, go with
someone that you trust that they will manage your complications or manage, know, hold your hand through the healing process if something does happen, right? And make sure that they know they're doing the right thing in the OR when you're not able to make decisions for yourself as well.
Spencer Moore (:Sure, exactly. So I know that at your centers you also do hair removal. And so my last question to you, ⁓ last week actually in my chin chest episode I talked about chin hairs and it's the name of this podcast. I was diagnosed with PCOS when I was just a teenager and I've had chin hairs my whole life. And I've done some different ⁓ procedures and things to remove them, none of which have been really successful for me. So I wanted to ask you in your opinion,
Dr. Tali Arviv (:That's funny.
Spencer Moore (:What do you think is the best way to remove hormonal facial hair, such as these chin hairs that pop up for women throughout their life with PCOS or perhaps when they enter menopause? What's your advice there?
Dr. Tali Arviv (:Right, yeah,
yeah, because facial hair is hormonal, I say when it's black, just do the laser hair removal, right? And once it turns white, you're stuck with electrolysis. So electrolysis is really the most permanent form of hair removal and it treats all hairs, whether you're red, blonde, black hair, you can treat all hair colors. It's a little bit of a process because you're going in and you're treating one hair at a time, but I think it's,
Spencer Moore (:Mm-hmm. Okay. ⁓
Okay.
Mm-hmm.
Mm-hmm.
us.
Dr. Tali Arviv (:but for such a small area, it's manageable, so I'm like, go do electrolysis on your leg. I think laser hair removal is great. did, you know, before I opened the med spas, I went to Ideal Image to do laser hair removal and I signed up for a full body package, because my dad's like...
Spencer Moore (:Yes, yes, yes.
Mm-hmm.
Dr. Tali Arviv (:It's from Uzbekistan, so it got like the hairy Middle Eastern jeans. signed up for the full body package. was like $7,000. Did the financing, all that. This was like before medical school. And they even told me at that time, like, listen, we're gonna...
Spencer Moore (:wow.
Dr. Tali Arviv (:guarantee that you have hair reduction. actually called hair reduction. It shouldn't be like hair removal. But we can't promise you that between now and age 60 that you're never gonna grow another hair. ⁓ And I can say in areas like your legs, your underarms, your arms that are not really, a bikini line even, that are not really hormonally influenced. ⁓
Spencer Moore (:Okay.
Yeah. Yeah.
Dr. Tali Arviv (:Once you get that 99 % hair reduction, you're really not gonna grow any more hair. ⁓ But the face can be a little bit more challenging. So you just kinda have to keep working on it.
Spencer Moore (:Okay.
Mm-hmm. Yeah. Yeah, and I also, I think that's it. You have
to keep working on it. And also, this is my body. I mean, there is a radical acceptance that I do think is very freeing. Sometimes when you, you know, I do very much put an effort into my appearance, but I also sometimes just accept that this is the way that it is. I mean, I did laser hair removal for years and mine just kept coming back. I just stopped doing it at one point. Now I just have
Dr. Tali Arviv (:You're kind of blonde though.
You're blonde. Yeah. And so, okay.
Spencer Moore (:You know, I'm actually brunette. ⁓ I was brunette
and then my hair turned, this is actually kind of my gray hair. It's more blonde than gray, but if you see me from about 10 years ago, I had dark brown hair. ⁓ It happened the same to my mother in her late 30s. She started kind of blonde and now if I color my hair brown, it doesn't actually hold the color because this is actually quite, gray hair stops holding color as well.
Dr. Tali Arviv (:Okay.
Mm-hmm.
Mm-hmm. Mm-hmm. It looks good. Okay. And they just sneak up on you, right? They just sneak up.
Spencer Moore (:as your earlier color, so I just kind of adopted the blonde look. ⁓ But I will say my chin hairs are very brown. They're either brown or they're completely white, which, know, whatever. But I just, they do every day. It's like death and
taxes. I just know when I wake up in the morning there will be a chin hair. But you know, it...
Dr. Tali Arviv (:always notice them
when I'm driving in the car, there's like all this light and then you're just like, my God, I've been walking around with this right here for like three days. Nobody told me that I have a beard.
Spencer Moore (:I know.
I know, I think earlier I used to say
to my husband, if you see one you have to tell me, but then he was telling me every day and I was like, just stop telling me. I get it, I don't want to be told anymore. I know it's there. So, you know, that's just how it goes. ⁓ But okay, good, well thank you for that, I appreciate it. Actually, I have not done the electrolysis route. That's what I mentioned last week in my chin chats is that that's what I'd seen a lot of people saying, wow, the electrolysis is so amazing, it works really great for facial hair, so.
Dr. Tali Arviv (:Ha ha
That's funny. It's a good one.
Spencer Moore (:⁓ That's interesting to kind of know now about more.
can you please tell us where our audience can find you? You, as I mentioned at the beginning of the episode, you have clinics in Tampa, Ocala, and Miami. Can you share a little bit of information about your clinics, about where they can find you on Instagram,
Dr. Tali Arviv (:Mm-hmm.
Yeah, the clinic name is Arvive Aesthetics. It's A-R-V-I-V Aesthetics with an A. Find the website, give us a call, text us. I also can be found at Dr. Tali Arvive on Instagram.
Our surgery center is 360 Surgery Center in Tampa, and I also train medical professionals in injectables or anything aesthetics that they're interested in at the Med Spa Institute in Tampa as well. So you could reach me at any of those and.
Spencer Moore (:That's great. I will have all of that information added in the show notes for anybody interested in just finding and being able to click you. So thank you.
Dr. Tali Arviv (:Okay, sounds
Spencer Moore (:So yeah, well, thank you very much. This has been a wonderful conversation. I'm so appreciative of your time. ⁓ I just thank you for being here.
Dr. Tali Arviv (:Thank you.
Thank you. Thank you for your time as well.
Spencer Moore (:Yeah, of course.
