All About The Joy
All About The Joy is a weekly hang-out with friends in the neighborhood! We share insight, advice, funny-isms and we choose to always try and find the positive, the silver lining, the "light" in all of it. AATJ comes from the simple concept that at the end of the day we all want to have more JOY than not. So, this is a cool place to unwind, have a laugh and share some time with friends!
All About The Joy
Skincare Secrets: Beyond Botox
Our guest, Nilu Rustomji, brings a unique perspective to the conversation of Botox, wrinkle relaxers and all things skincare, having studied psychology before entering the medical field. This background illuminates her holistic approach to facial aesthetics—treating not just the physical appearance but understanding the emotional journey of each patient. Through candid discussion, we unpack common misconceptions about injectables and reveal surprising medical applications most people don't know about. From treating migraines to helping with excessive sweating, these treatments have therapeutic benefits far beyond cosmetic enhancement.
The episode takes a turn when we examine the ethics of aesthetic medicine. Nilu shares her process for screening patients, including watching for body dysmorphic disorder signs, and Carmen contrasts her nurturing approach, with some practitioners who may make clients feel "broken" to sell more services. We also explore important considerations for special populations, such as those who are immunocompromised, and practical advice for listeners of all backgrounds—from simple skincare routines to understanding what questions to ask before getting treatments.
Whether you're curious about trying cosmetic treatments or simply want to improve your skincare knowledge, this conversation offers valuable insights free from judgment. Visit yourskincoachNilu.com to learn more about the services Nilu offers and to discover personalized skincare approaches that celebrate your unique beauty.
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Music By Geovane Bruno, Moments, 3481
Editing by Team A-J
Host, Carmen Lezeth
DISCLAIMER: As always, please do your own research and understand that the opinions in this podcast and livestream are meant for entertainment purposes only. States and other areas may have different rules and regulations governing certain aspects discussed in this podcast. Nothing in our podcast or livestream is meant to be medical or legal advice. Please use common sense, and when in doubt, ask a professional for advice, assistance, help and guidance.
Hey everyone, welcome to All About the Joy. I'm so glad to have everyone here. Cynthia no laughing, but I'm glad that you're here today. Mario is in the house and maybe we'll see Ama a little bit later. Thank you, and Rick Costa, as always, so glad you're here. We have my friend Nilou here. Hi, and I'm going to try again to say your name. It's Rustam G. Right, nilou Rustam. Hi, and I'm going to try again to say your name. It's Rustom G, right, nilou, rustom G. Yep, that's it. And, as I said a little bit earlier to you, I can't believe I didn't know your last name up until this moment. But you actually do all my Botox and I'm sorry I'm repeating that again. We're not supposed to call it Botox, it's I always mess up. Anti wrinkle what is it Like?
Nilu Rustomji:wrinkle relaxer treatment yeah, it's like a broad term for all the different types of wrinkle relaxers that are on the market.
Carmen Lezeth:That are on the market. So, instead of saying Botox, which is like saying Coca-Cola, instead of like Pepsi for people who don't know, because most of our audience, I don't think, is really big on I'm sure Rick's audience huge on Botox, but you do a lot of skincare and the reason why you and I connect so well and it's you know, one of the reasons why I want to tell people how I have guests on the show, how I meet them is I actually went to a place where you used to work, um, and I had a person that I would work with and she would do my stuff, but then she went on vacation. I met you and that was the end. You just have a whole different approach to skincare. That I love, um. I love your website. Oh, let me promote your website now and I'll put it at the bottom for everyone to look at. But it's your skin coach, nilucom, and that's N I L Ucom Um. But why don't you tell us a little bit how you got into doing skincare?
Nilu Rustomji:Yeah, so of course. So I um didn't think I would be in this role at all. Um, growing up, my parents are like immigrant Indian people and they have no idea what Botox or any of this is. But I studied psychology in undergrad and went on to PA school where I was doing different rotations, and landed a rotation in dermatology and, kind of you know, fell in love with it. I really liked the procedural, hands-on aspect and being able to relate with patients, spend more one-on-one time with them in like a more intimate setting. So I actually ended up doing medical, surgical and cosmetic dermatology for a few years in Santa Barbara before coming back to LA and focusing just on cosmetic injectables and skincare just on cosmetic injectables and skincare.
Carmen Lezeth:So there's a huge psychological aspect to how you do skincare, as opposed to the idea that you know cause I've always. We can talk about this later. I think other people have questions. But whenever I tell people I've had Botox done, like whenever they say, oh my God, your skin looks so good, I'm like done like. Whenever they say, oh my God, your skin looks so good, I'm like, yeah, it's Botox or whatever. Because when you notice Botox or when you notice it, that's when it's badly done. But most people who get it done you would never, no one would ever know I'd had it done. No one.
Nilu Rustomji:Exactly, you always think about the people that you see out on the street or in Hollywood and like, oh my gosh, they look terrifying, they do Botox or they do too much. But yeah, exactly, you don't think about all the people that are walking around that you wouldn't otherwise think twice about. That do have work done. But it goes to show that it can be done very naturally, very elegantly. My whole approach is I don't like cookie cutter approaches. I think that we're all unique and beautiful in our own ways and we all come from different backgrounds, and so I just really try to highlight that and like each patient's unique anatomy and what. What are their goals Like, what are their concerns? Like someone that's an actor, doesn't need to have no movement at all, versus somebody that might want to have, you know that has like really deep lines or wrinkles, you know. So you have to always cater to the patient, ask about their lifestyle, ask what they're doing at home.
Carmen Lezeth:Mario, would you ever get a ton?
Maurio Dawson:My wife wouldn't let me. And also I have questions because for me, like for most people, for most listeners and viewers, they know that I have kidney transplant, so I'm immunocompromised, so there are certain things that I cannot do, like I always wanted to get a tattoo but I can't do it. So I always my wife is, you know always wondered what that looks like for someone like me. Could I ever do something like that, even though, cause I've had a major weight loss I've lost like 130 pounds so far. So now I have a lot of wrinkles and cause a lot of loose skin in my face. So that's something I always have a question about if I can do that or not.
Nilu Rustomji:Of course. No, that's very valid and and that actually is a good thing to bring thing to bring up, because a lot of people might think that, oh, it's Botox, whatever, it's nothing. But it is still a medical procedure and, to your point, it's really important for us to screen patients for these things. But I always defer to your, you know, rheumatologist, your PCP, your regular physician, to get clearance. But in your case I'm not providing medical advice but if they which they probably would, because it's a very not like, it's pretty non invasive. And we do treat a lot of immunocompromised patients. In fact, you know patients that are undergoing chemotherapy or, you know, have cancer, like sometimes they come in just to feel good and they are oncologists. You know, tell them like, go get whatever you need done to feel better, to feel happier. So, yeah, we do treat patients with you know that are have immunosuppression or immunocompromised, but we always will. Yeah, I just recommend getting clearance from a physician.
Maurio Dawson:Yeah, see, that's a question a lot of people wouldn't know.
Nilu Rustomji:Yeah, no, that's a fabulous question, yeah.
Maurio Dawson:And a lot of these Thank you, I did my homework today.
Carmen Lezeth:You earned your salary, Mario.
Nilu Rustomji:Thank you.
Cynthia Ruiz Lopez :I've also heard of people using it to get rid of migraines Exactly.
Nilu Rustomji:Yeah, yeah, yeah. So that, thank you. Yeah. So I was going to say a lot of these medicines that are you know now, aesthetic treatments were first indicated for medical use, so migraines, nerve disorders like movement disorders, urinary incontinence, excessive sweating.
Maurio Dawson:I didn't know that, yeah.
Nilu Rustomji:Yeah, I did not know yeah, yeah, I was today years old.
Maurio Dawson:How about?
Carmen Lezeth:that now you did extra homework more homework let me just write rick, do you have any questions?
Rick Costa:you're falling behind on the homework I was just wondering, like the difference between all the technology we have now compared to like 25 years ago, is it like really really different or pretty much the same?
Nilu Rustomji:that's a good question. I mean a little bit of both. Um, you, knowox, I think, first got its aesthetic indication, at least in like 1989. Um, but these again medications have been studied for like decades now. At this point, um, I would say, newer formulations of, let's say, like Botox or certain fillers are still being developed. Um, I would say, more importantly, we're learning, as practitioners or healthcare providers, how to do it more properly. We're learning, as practitioners or healthcare providers, how to do it more properly. We're learning a lot more about facial anatomy, about you know which plane to inject in without going into too much detail. So it's really actually about, I think, like finessing our expertise which makes it so. It's we're constantly learning, which is so cool and so. So, yes, there's always new products like coming out or in the pipeline, but a lot of these have been very well studied for a long time and are pretty safe for use.
Carmen Lezeth:I think one of the things I found interesting that you do that I didn't have done before. So I used to go to a man who's a surgeon have done before. So I used to go to a man who's a surgeon but he does plastic surgery whatever.
Maurio Dawson:And I went. Why is Mario laughing?
Carmen Lezeth:Because we're talking about derm and I keep looking at my wrinkles in my forehead. Baby, you're beautiful. I just found a very prominent place, because the way I ended up learning about Botox was I had this friend who I met getting my nails done. This woman, she was next to me getting her nails done. I was having a conversation. She interjected and we started talking afterwards and then we went out to dinner and we became friends and a year into our friendship we were having dinner and I was like, oh, I really really have to get something done.
Carmen Lezeth:You know, like you kid around with your friend, you're like, oh, I got to get something done here. And she was like, oh, no, what you need is like some Botox here and here. And I was like I was like laughing Cause I was like, yeah, girl, whatever, cause I knew nothing about it. And she's like, no, for real. If you ever want to go with me, you know I've had everything done and I'm like what it had her nose done when she was 18. She'd had her boobs done, she'd had a facelift, and I'm telling you here's how naive I was. I honestly can tell you before that day, if someone had told me that they had had all this stuff done, I'd be like.
Carmen Lezeth:I can't be friends with her because I had a judgment about it. Yeah, yeah. And here I was hanging out with this woman for over a year, having dinner once a month like we'd always get together. You know what I mean? We went to yoga class. I wanted to shoot myself because I hate yoga. She tried to get me into yoga class or whatever, but she was a good friend. And when I realized all the work she had done and how beautiful I would have never guessed I would have it never dawned on me. So I went with her. I went to a very I know you would know I think we've already talked about this, but I know you would know who it is a surgeon or whatever. And when I went in there, he was, I mean, I left there. I went in thinking, okay, well, yeah, maybe I could get. I left that visit being like so broken, like I was ugly. I needed everything done. You need filler here, you need this there, you need all this stuff. And he obviously didn't take any psychology classes?
Cynthia Ruiz Lopez :He obviously didn't take any psychology classes.
Rick Costa:No, right, exactly, I don't want to do that.
Nilu Rustomji:A lot of male surgeons they, yeah, I mean, and look, here's the thing.
Carmen Lezeth:He's very prominent, he's worked on a lot of Hollywood celebrities and I know Nilo, you know who it is, but it's just, I think he just knows. Like he was just cut into the chase Like here's all the stuff you can get done. It'll cost like $28,000 and whatever. You know what I mean. Like, well, he didn't say that.
Carmen Lezeth:He sent me to the next room, which was the whole budgeting person who can set you up with a credit card and the payment plan, and I remember being like, yeah, I mean, I felt I have never had bad self-esteem. But the difference with you and where I met you is it's is it all women there? It was all women at one point. It's all women, and that was the first thing I noticed and it's just a whole different nurturing thing. And then you were just, you know, I think you said to me wow, you have such great skin. And I was like I think it's that nurturing aspect.
Carmen Lezeth:There is a difference between and this is not to be judgmental of men in this field, but there is a difference between women helping other women through this, because I think I'm not saying all women, but you're more about how you go about it. Like you use different things on different parts of my face. Yes, for the injectables, where that never happened before, it was just all botox, yeah, yeah, and you explained it to me. You were like for this area, we're going to use this and for here, so I get botox, just so. People who because I don't think anyone in this room besides well, rick, you get a lot of it done I can tell we're almost in there frozen.
Maurio Dawson:We listen and we don't judge.
Carmen Lezeth:So everyone knows, I don't mind sharing. So I have a line that goes here. Right, it's a pretty deep one that goes through here. That bothers me. You can't see it now because she thinks yeah, no, no, no, nilu does it, nilu does. But there is a line here that I have that you can't see now so you're saying you look like a vulcan without nilo nilu that's, that's right. I look horrible without her, but it's called the 11s, right? Yes, yeah, but why do I only have one line? It's weird, it's not weird?
Nilu Rustomji:This is what it is. I have one line Just to get to a little muscle. So sometimes actually and that's again we're all very unique. Somebody's muscle here can be distributing in various different ways, so the line there might look different than your neighbor's line.
Carmen Lezeth:So we put a lot here and then I get this area here done, whatever that's called. What's the outside eyes? The crow's feet. I don't like that term. I think we need to change that. It sounds nasty crows feet. We need to call it a mouse, like I don't know song, whatever like kitten whispers or something would you prefer talons would you prefer talons? I don't even know what talons are. I'm so sorry bigger claws.
Carmen Lezeth:I'm gonna say we can be more positive about right away. And I get those done and I get, uh, the forehead done, but you do it lightly so I can still move my eyebrows. So I don't have that thing where you can't move your eyebrows yeah, or you're too heavy.
Nilu Rustomji:We don't want that. What's too heavy? Oh, when it's like you feel like that yeah, your brows are way down, your lids are yeah, yeah.
Carmen Lezeth:Yeah Well, you're nice and lifted and awake, yes, yes, but what else do you enjoy about doing the work that you do?
Nilu Rustomji:What, what don't I love?
Nilu Rustomji:No, I think you actually kind of mentioned it a little bit earlier Mostly women, you know, mostly female patients. We do definitely have a good number of male patients coming in, but I just love and I'm so inspired by my female patients, our hustlers, their moms. They have 10 different roles and they, you know, for me, it's my opportunity as a healthcare provider to take care of them and for them to like get in that chair just like go of everything, relax and like take care of themselves. And I feel like you know, as women we're oftentimes in a nurturing role or whatever, but but now like, at least in our, our generations, of where we're full-time employees a lot of the times as well, and so being able to navigate all those things, being a mom, being, you know, working full time, whatever it is, we might not often give ourselves grace or time to like take care of ourselves, and so being able to provide that for patients is really rewarding, yeah, and I learned a lot. I learned so much from my patients. I learned a lot from you, Carmen.
Carmen Lezeth:We had a great conversation last time. That was just too funny, I mean. I couldn't believe. I was so excited to, I was nervous about asking you to come on the show and then when you were like yeah, I was like, oh, my god, really it was so random. Um well, cynthia, do you guys? Do you guys have any other questions? I don't want to dominate, but you know, jump in, I will have the conversation by myself with her and you guys just be out there. I don't want to know. No, uh-oh, what just happened? I got to find him. What just happened, mario? What happened? I got to move you over.
Maurio Dawson:I was just sitting here minding my Black business and it happened.
Carmen Lezeth:That's a good segue. Is there a difference when it comes to different ethnicities, colors of skin tone, when you do some of these procedures? Because I want to be clear, I have no idea what's happening. I don't know what he's doing. I don't know either. I'm just sitting here's doing?
Maurio Dawson:I don't know either. I'm just sitting here. I swear I'm not touching nothing. Look, I turned the TV off. Make sure the internet's off. Look, nobody else is here. I don't know.
Carmen Lezeth:Sorry, Again, it's our first week, but let's go back to that question, Like is there a difference between different ethnicities when it comes to all the different types of skincare you do? Because I want to be really clear. You don't just do a wrinkle relaxing oh my God, why can't I think of what it is? What is it? Wrinkle relaxer treatment? I can't say that I love that term. I'm tripping over my own, Um. But Botox, it's not the only thing you do. You do a lot of other things. That's on your website as well. And again, I want to do a shout out to your website one more time. Your skin coach, Nilu N I L Ucom, Um. But yeah, let's, I I'd love to know that. Like, what is the?
Nilu Rustomji:differences or are there any differences? Yeah, great question. I would say a really common one that we have to consider is things like lasers, microneedling, chemical peels Usually a procedure, especially that involves heat like lasers. I can't do a lot of lasers because I might pigment, so I might hyperpigment or hypopigment, so like I can get darker, lighter spots after certain treatments because we have more melanin in our skin. So certain procedures not that we can't do all lasers you know there are lasers that are safe for like all skin types across the board, but there are some that you want to just be more cognizant of and certain peels, like if they're like really high depth peels that are getting deep into the skin layers, we'd have to be a little more careful of as well.
Carmen Lezeth:In terms of injectables, you know, like Botox or filler, you know we do that for all you should explain what filler is, because I don't even think you guys know what filler is, do you?
Maurio Dawson:Yes, I'm very astute.
Carmen Lezeth:Thank you very much. Maybe for Cynthia and Rick or for our podcast listeners. Maybe they don't know what filler is no, I'm just joking.
Cynthia Ruiz Lopez :I'm just joking. I know I love you.
Nilu Rustomji:So filler it's commonly called dermal filler and most dermal fillers are composed of what we call hyaluronic acid. Hyaluronic acid is a component that's naturally in our skin already. It's what draws water and moisture into the skin and hydrates it. So, basically, what you know these chemists have done essentially have created synthetic hyaluronic acid gel, and that's what is in a filler and what it does is. You know, when we inject it let's say really commonly in the lips, you know the gel kind of plumps up the lips. It hydrates the lips, yeah, but sometimes that looks so bad If it's done, badly Shout out to Kylie Jenner.
Carmen Lezeth:You don't know that can be a client. Shout out to Kylie Jenner You're so mean, you don't know that can be a client.
Cynthia Ruiz Lopez :You're just giving a shout out to Kylie Jenner.
Maurio Dawson:Just a pleasant shout out.
Cynthia Ruiz Lopez :I actually have a question about the hyaluronic. So of course we've seen commercials about hyaluronic acid creams and serums and things like that. Do those work just as well as the injections?
Nilu Rustomji:Not for the same purpose? That's a great question. So topically, so in like skincare, like lotions and moisturizers hyaluronic acid in it is beautiful, it can really help again seal like moisture into the skin. So if you have dry skin, if you have eczema, it's great for that, but it's not filling areas of volume loss. So for instance, mario, you were saying like you lost some weight recently. So a lot of patients you know that even on like Ozempic or any of those like weight loss medications, they've also noticed a lot of like volume loss in their face. Because that you know that goes down over time. We lose bone mass, all those our skin starts to sag or whatever. So filler can actually help when it's injected to refill areas that we've lost volume. So topically it's not going to go in deep enough to replace that volume because it's deeper areas in the face that are losing volume.
Carmen Lezeth:Some people get it like um, they get it here at the laugh lines Um, right, um, I had filler done once by that man and uh, and they I'm sorry.
Nilu Rustomji:Cause I did the one who will not be named. I'm sorry, cause I did the one who will not be named.
Carmen Lezeth:He does huge celebrities, by the way, but um they they put in filler here.
Nilu Rustomji:Uh, why do they do that? You're not really doing that as much anymore. Um, like in the under eyes.
Carmen Lezeth:Yeah, they did an under eyes and then it was stuck here and, by the way, that doesn't really go away for like a year. I went back in and he was trying to whatever they were doing, trying to take it out, but it really stays for a while yeah, they can be stubborn.
Nilu Rustomji:It can take some sessions of dissolving. We don't. You know we do under eye filler still, yes, here and there, but again. So actually goes back to one of those things that, like as injectors or surgeons, we've learned now you know filler might not, is not usually the best uh treatment for that area. It's such a thin air like the skin is so thin there. It's very delicate. It's our eye muscles around that area. It's constantly like blinking and contracting. So why would you put a gel there that you know takes in water and moisture and plumps the area you don't want to get plump here? You don't look like you have big under eye bags.
Carmen Lezeth:I had a thing right here, and here's the thing you have never said to me. This is the other thing I like about you. I've never walked into your office and you've been like Ooh, you know what, carmen, I think it's time for you to try. Blah, blah, blah, blah, blah. You know like, if anything, you kind of dissuade me from doing things, cause I'll be like okay, no, but seriously, you're good, it's all good, you know, but I think that's a really good thing because you're being very honest and you're not going to overdo it. You know like, as we were talking about some celebrities last, like two sessions ago, whatever, in our, in our private lounge, or I think it was a Friday night thing this obsession with, like, pamela Anderson not wearing makeup and you know, everyone is so like, oh, my God, she's so beautiful and she's so awesome and rah, rah. And yeah, I'm all happy for her, but she's had a lot of work done, so it's very different than a woman of her age and I believe she's in her 50s now. Right, I feel like she might be a little older of a particular age
Carmen Lezeth:she's a woman of a particular age. Thank you, mario. But and so the idea of us being all excited about someone who's going quote, unquote, natural, because they're not wearing makeup really irks me, which is why I talk about what I do. But go ahead, I'm sorry, sorry to cut you off.
Nilu Rustomji:But yeah, no, that's like a pet peeve of mine when they're like, oh, I've never done injectables or I've never done Botox, cause they'll name. I think this is my theory. Certain celebrities will name the brand. Then they could be like, well, I don't get botox, but secretly they actually get disport or different brain, you know right, or whoever. You know other young adults that are like looking up to these celebrities, thinking like, oh my gosh, they have perfect skin or they have a perfect lips or perfect base, and like they're all natural, like you know, it's just like you just teach their own. But for me I'm like, oh, you're just making other people feel bad by not being honest. Yeah, yeah.
Carmen Lezeth:I mean, and you use this port here, right? I forget what it is, but you know. I believe so, yeah so like if I were to say something like, let's say, I was being interviewed, I'd be like oh yeah, no, I don't use what's a third one I've never used Because.
Nilu Rustomji:I use Botox and Dysport. There must be another one. So that's what you're saying. People are lying and saying that's my. I wonder that sometimes, yeah, like, who is it Like? Oh my gosh.
Carmen Lezeth:That's how they're getting away with it. They're saying they don't drink Coca-Cola, but they're over there drinking Pepsi.
Nilu Rustomji:That's my theory there is no way, like this celebrity has not done any, like she's using olive oil Okay.
Cynthia Ruiz Lopez :The lies the lies.
Carmen Lezeth:Well, that's when it's crazy too. And here's the thing Now that I do it and I've been doing it for years now and I get it I can tell, I can just tell, I can pinpoint it's like gay radar or something you can just tell that somebody has. I really have bad gay radar. By the way, my friend Richard used to be able to be like I'd be like, oh, that man is fine, I'm going to give him my number and he'd be like, yeah, you're gay, don't even bother.
Carmen Lezeth:I want my number but go ahead, but can't you tell? I mean you're a professional so you can tell when people have had stuff done.
Nilu Rustomji:Yeah, yeah, usually I mean on on TV. Sometimes I, sometimes I can't focus on like whatever these reality television shows and stuff, because I'm so focused on their face. I'm like, oh my God, they look terrible.
Carmen Lezeth:Okay, wait, wait. Do you sometimes look at people and be like wow, they really do need some work.
Nilu Rustomji:No, usually it's the opposite. It's like you've done too much, oh okay. Or like I'm still moving. I okay moving, I'm like, ah no, that looks weird I do.
Maurio Dawson:I do have a question do you work with people who have, like, uh, surgery scars like keloids or things like that, and helping them reduce those scars?
Nilu Rustomji:yeah, so good question yeah, so I did that a lot in my old dermatology clinic where I was doing more like medical surgical dermatology. We would sometimes remove even big keloids like on the ears surgically. A lot of times we can inject it with Kenalog, which is like a steroid.
Maurio Dawson:Can you?
Carmen Lezeth:just tell me what that is. I don't even know what you're talking about, Mario. For example, keloids are raised scars.
Maurio Dawson:Can you just tell me what that is. I don't even know what you're talking about. Mario, for example, keloids are raised scars on your body. So, for example, this is a keloid. Do you see that?
Carmen Lezeth:Yeah.
Maurio Dawson:Okay, that's a keloid, so it's a raised scar off the body that you can actually see, and then there are ways to reduce the size of the scar. So I was wondering if she worked with people with stuff like that.
Nilu Rustomji:Okay, yeah, and a lot of dermatology or aesthetic practitioners will, and yeah, so you can typically inject it with the steroids. It's different than Botox or filler, but we've actually found uh, there's evidence that, like even for women, like who's recently had a C-section, or if you have a recent injury or surgery, doing Botox around the line of injury, um, can actually help prevent like scarring or maybe maybe even keloid scarring. Keloid scarring is like kind of a next level type of scar, but but we have have found that because it I have to read more into like the research behind it, but it I think helps basically relax the muscle fibers around that scar so it doesn't contract as unevenly and like it's not as misaligned, um, so it is actually kind of a cool like botox can be used for so many things.
Maurio Dawson:It's quite fascinating okay, cool, I've done my homework, rick you seem.
Carmen Lezeth:What are you? Okay? Wait, I want to make sure it's okay. Very talkative I'm so confused.
Rick Costa:Oh yeah, so talkative. All this, this is all new. I'm absorbing it all. Okay, I did have a. Okay, I did have a funny question maybe funny, maybe not funny but do you ever get anybody come to you and be like I want to look like this?
Nilu Rustomji:and you're like, baby, I'm not god, oh, my gosh, yeah, it doesn't happen a lot, but it does happen and it is a little bit of a pet peeve of mine as well, because I'm like, yeah, first of all, that's a filter, so that's not even a real person, right, right. Sometimes it's like you know they're using a filter or pictures of somebody that has a completely different anatomy or features. And again, it doesn't happen a lot Usually. For me it's more so, just like setting realistic expectations of what we can achieve with injectables alone. I mean, granted, I'm not a plastic surgeon, so maybe they can do it, you know, alter the appearance a bit more. But but also, you know, we have to the psychology that comes in is, you know, we kind of mentally have to screen for patients that might have body dysmorphic disorder or something else going on, where you know they may not ever be happy with whatever cosmetic treatment they get, and that's a different type of thing?
Nilu Rustomji:Not a lot, at least not where I work. I'm in Santa Monica, where most of our patients are very like. I want it natural. I just want to age, gracefully, you know, carmen.
Carmen Lezeth:You guys do screen, like so. So the way it happens is you have to fill out all this paperwork and it's on an iPad thing or whatever, but you have to fill out all this stuff and you have to. They take pictures every time you come in I. Why do you guys take pictures every time?
Nilu Rustomji:I know sometimes it's, you know, patients may think it's a little excessive, but it's kind of like our, it's like a tool for us, you know. So we can see the progress, which is really nice. But also, if there are a lot of times patients like don't notice certain things until everything else looks better, and then they're like but now I have this, and then we look at the photos and we're like, oh, but you always had that and you're just noticing it more.
Carmen Lezeth:Oh, right Right.
Nilu Rustomji:Okay, nice for patients too. They're like oh okay, okay, I see it now.
Carmen Lezeth:So yeah, but I'm just saying it's a pretty intensive thing and I feel like you guys take a lot of time. Well, you take a lot of time to talk to people to get a feel for if they're crazy or not. I don't know. It's just my feeling, I'm just saying with me, because it just felt like you took so much. I'm like, this girl ain't got no other appointments.
Nilu Rustomji:Meanwhile, my staff is like bringing the light.
Carmen Lezeth:They're like go girl. No, this thing is very thorough, and I think that might also be the difference between again, this is just my experience, and I've been having botox on, I think, for maybe a good 10 years now, maybe 10 years and I have to say in my experience, um, there's a difference between going to men and going to women. If you're a woman, for me it was, you know what I mean, or it has been um, but there were also what they call um botox bars. Is that the right terminology? Do you know what I'm talking about?
Carmen Lezeth:there's so many like so, where you go to like somebody's house or they come in like a truck no, like on montana here in santa monica, where just it's like you walk in and they're just like off the street. Yeah, you should never go to those places. You should always go to a licensed person. I mean, why don't you tell us what you should do? Neelu, I don't know. I mean you can get Botox at your nail salon. You can get it. I would never do that. You can get it. Seriously, you never noticed that you go into a nail salon and they're like can we do Botox and waxing? I'm like I would never do either one of those things.
Rick Costa:Number two please cocktail and fill in my hair.
Nilu Rustomji:Doing it at the fast food restaurants.
Carmen Lezeth:now too, tell people who might be interested in their first time what they might want to look for or stay away from what they might want to look for or stay away from.
Nilu Rustomji:Yeah, yeah, I mean yeah, do your research right so you know who's the provider that you're going to, where, where. Where do they go to school? Where do they get licensed? What kind of training do they do? What do they do on a daily basis? You know, not to say you can't do lasers and other things, but for us, like you know, I specialize just in injectables, which I really like. So I'm not a jack of all trades, I'm really specializing in this one thing. So I just think patients really like that and feel more comfortable with it. Reviews, referrals, those are all the best. Yeah, yeah, I think referrals are great because then you know, okay, like my best friend or my cousin or whoever has seen them, they trust them. But really you know you want to go to a licensed medical professional, which in, at least in California I'm not sure about the East Coast states, but usually it has it has to be an RN, so in registered nurse, nurse practitioner, pa, physician assistant, which is what I am or an MD medical professional like a doctor.
Carmen Lezeth:Right and look that's not to say that places that people go. And it is here on Montana, on Santa Monica, where I went once and I was like okay, I'm never doing that again, like because I was so afraid, I felt so uncomfortable. They were nice and it was fine, right?
Nilu Rustomji:So, yeah, it's not to say that they aren't, you know, professional and don't do a great job. They might. So I don't know if there's a certain place you're mentioning, but, like, because that's the other thing, these med spas are opening up very quickly, yes, and across the world, you know, and I've been hearing like in London people don't have to be licensed at all, like medicine I believe's in. Then that's where it gets really scary, because then where are they getting these medications from? Where are they getting their? Where are they getting their botox? That's where it gets really scary, because there are, you know, fake botox companies out there that distribute them.
Carmen Lezeth:And that's her dog she told us, yes, no, so we can let her dog bark in the back.
Cynthia Ruiz Lopez :I have a question what are, like the most common side effects to like the not the fillers, but the injections, Botox, all things like that and are there any long-term effects that can happen?
Nilu Rustomji:Beauty in Beauty I know I always joke the biggest side effect is you get addicted. So with any medical procedure there's always certain risks, benefits, side effects. So most common risk not really a side effect most common risk is risk of bruising or swelling at the injection site. Usually it's pretty minimal, goes away in a few days. With Botox you can put makeup on like within 10 or 15 minutes. Sometimes patients might get a dull headache the next day or two. Doesn't usually happen with each treatment, but sometimes your first treatment or two you can get a dull headache, usually just because there's so many pokes can get a dull headache, usually just because there's so many pokes.
Nilu Rustomji:What else Scary stuff that you might see online is where you get what we call ptosis or droopy eyelid. That's very rare. It sucks. It can happen to anybody, any practitioner, at any time, unfortunately. But again, it's very rare and we usually do things to try to avoid that With Botox and these type do things to try to avoid that. With Botox and this type of dysport and all these different wrinkle relaxer treatments, most of what we do is not permanent, which is nice. So if you ever get a horrible side effect of like a droopy eyelid, um, it will resolve within you know a few weeks, Like two to three months, right Is?
Carmen Lezeth:I kind of see you every three months or so. I seem to, but that's not always the case. Because this is the other thing you have to understand when you go to certain people, and I don't know why this happens you go to certain people and you pay even the same amount of money, but then it doesn't last as long. What's that about? And then sometimes you pay the same amount of money and then your office is calling me like Carmen, are you coming in next week? I'm like I'm still fine.
Carmen Lezeth:You know, what's that about why?
Nilu Rustomji:is that so different? There can be so many variables. I mean a common one that people assume is like oh, they're over diluting their product or whatever, which at this point I don't think is very common. I mean hopefully not so. Botox, dysport, these all come as like a dry powder form, so we all have to dilute it. We have to mix it up into a liquid solution to inject it. But maybe some cheaper places will over dilute it so they get more product to be able to inject in patients and that's where their results might not be as strong. Again, I hope that places aren't really doing that anymore.
Nilu Rustomji:It's not good practice, but like a patient's metabolism. If you're young, you work out a lot, yeah, you go to yoga, hot saunas, you're sweating a lot. Sometimes you might just like metabolize it very quickly. A lot of times it's the dose. You just need a higher dose. You know a lot of young clients or patients come in for like baby Botox. So it's like taking a half a Tylenol versus a full Tylenol. You know, if you take a half a Tylenol you might not get the maximum effects, or it might. You know, the effects might not last as long because you're not doing a full dosage of what they recommend.
Carmen Lezeth:Wait, wait, wait. How young are people that you just said baby, I just freaked out. But how young do you see? They're an age you will not see, I mean.
Nilu Rustomji:I don't usually. I don't usually feel comfortable with treating patients that are like under 21. I think you know cause. Well, fda, I think for all of these treatments are FDA approved for 21 and up. Um, I've had very rare cases where, like, the parent wanted the patient to be treated, which is also kind of weird to me, but um or uncomfortable, but so I will have, like, parents, sign consent, you know oh, and you'll have to do it yeah yeah, they do, I mean yeah yeah, have you ever not done it?
Carmen Lezeth:because you disagree with doing it for someone?
Nilu Rustomji:Yeah, yeah, if it's, if I think it's going to be unsafe for them, uh, if I think that, you know, or if they have a history of being unhappy with treatments, um, you know certain red flags like that Cause, then at the end of the day, no one's winning right Patients. I'm happy, I'm unhappy If the results aren't going to look good, if it's unsafe, like those are, you know, it's not, it's not worth it at that point. Um, but to answer your question, I would say, like the what we call baby Botox for most patients, they're coming in for that, maybe like in their early to mid twenties early to mid twenties.
Carmen Lezeth:Yeah, I don't think I ever even thought about Botox until I hit my forties. I didn't even well, it never even dawned on me. I had such an attitude about it First of all because I was always thinking about bad Botox. That's what people don't understand. When you're looking at Botox, or you're looking at someone and you don't like the way they look although you should keep that shit to yourself but if you don't like what, you're looking at someone and you don't like the way they look although you should keep that shit to yourself but if you don't like, what you're noticing is someone who's maybe gotten it overdone or has done too much, or um, is there an ethical like? Why do I mean? Of course there is, but why do surgeons and doctors go overboard? I mean, do you ever make do, do a mistake and be like maybe that was too much to give her? I'm not going to give her that much again, or something? Um, I'm, I'm asking you when you fucked up online.
Maurio Dawson:I'm trying to mess up her reviews now. Keep her five stars on Yelp okay.
Nilu Rustomji:No, no, but you know what I mean, I think, for me, I'm like, if there's ever anything like, tell me, come see me, I will fix it for you, because, like, no one's perfect, especially if, like you know, it's a new patient to me. Everyone's anatomy is so different. So that's why I'm like, just come see me, harass me. I need to know so I can help you, cause, yeah, I'm not perfect, I don't, you know, I don't ease it necessarily every time, but but I think less is more and I think, carmen, obviously you, I think, agree with that and that's why we get along so well. I know, yeah, I don't know these surgeons, I mean and there's so many great surgeons out there, obviously so, but I think these ones, and like that we see with the Hollywood celebrities and stuff, I don't know, I don't know if it's like, if it's money, if it's, maybe they just feel uncomfortable saying no to these high client, you know, high paying clients, I don't know.
Carmen Lezeth:It's just weird, because sometimes you see the lip thing and I'm like, no, seriously, you think that's working. Like who did that to you? Like the lip thing bothered you when you're walking around and you're like it's too much.
Cynthia Ruiz Lopez :It looks painful.
Rick Costa:There's like a Christian woman that's pretty famous in the christian realm and she definitely had lips done and I can't even look at her now.
Carmen Lezeth:So I'm like it's distracting.
Rick Costa:Yeah, I can't look at her yeah tell me what she looks like, right is anybody like and how do you find out? Is anybody like allergic?
Nilu Rustomji:good question. So that's something that we screen for as well, um, typically not with the actual product, um, but we do screen for allergies to uh, the enzyme that can dissolve filler. There's sometimes cross reactions with like feasting allergies, um, but botox did you say feasting allergies?
Rick Costa:yeah, like bees oh that's the allergy I seem to have the eating did you like a prick on, like a unnoticed part of the body or something to?
Nilu Rustomji:test. Yeah, I have, I have done that. Um, I don't. It's very rare I have to do that, but yes, we can do that. Or I'll send them to an allergist because if they have, like, if I'm really actually worried they may have an allergy, I'm like I'm not well equipped. We have epi pens and benadryl, but if you're gonna have a really bad episode, I want you to go to go to a psychologist, so they're better equipped to handle that.
Carmen Lezeth:But also like I. I mean, I have an EpiPen and I have the medical bracelet, you know, because I have I'm allergic to penicillin and shellfish and when you walk in the office they do an entire health thing and they ask for your doctor's name. They ask it's such a, it's annoying. You know what I mean, because I'm like I was just getting Botox. Yeah, that's why you do it is so that you have all that information and then when you meet with the person the first time, they go through it and have that conversation. Yeah, and I guess you guys just put that in the file, cause I met you after that. I met you after I'd already started going to your office.
Nilu Rustomji:So um, yeah, if there's like, uh, something very pertinent and impatience medical history that I need to see or be reminded every time, I will like write it all up in their chart I don't want to forget this.
Maurio Dawson:I have another question. Um, for those people who are afraid of getting Botox because they don't like needles per se, okay, is there another technique or product they can use to help with skin tightening?
Nilu Rustomji:Yes, and actually those patients are some of my favorites. They're so cute and then cause they work it up. Usually they work it up in their head and then like and then I start and they're like, oh, that was it. So yeah, and I have really close friends that are still terrified of blood draws will pass out every time, but they are fine now with Botox. But yeah, so let's say you know, patient's not qualified for Botox for whatever reason, which is very rare or they don't want to do it and they just want more natural ways to take care of their skin. I'm a huge advocate for, like topical retinol. Retinol is great for the skin.
Nilu Rustomji:It's, you know, helps to produce collagen. It helps smooth fine lines and wrinkles, scarring pigmentation. Long-term use it can actually help prevent skin cancers, which is really great. A lot of people don't know about that, so that's like the cheapest, easiest thing that you could do at home. You can either get it prescribed or if you go to, let's say, like a med spa or something they will usually sell like a medical grade version.
Carmen Lezeth:There's also over the counter versions of it, but it is weaker, right. I mean, it's a weaker version, the over the counter.
Nilu Rustomji:Well, yeah, it depends, right. So it's, it might be weaker than a prescription one, but also I'm not a huge fan always of the over the counter ones, because the technology is not that great and it might be more irritating. So a lot of patients are like, oh, I tried, you know, over the counter rental, and I was so dry and red and flaky and I just, I know, and I'm like, oh, we just got to get you on the right one, like there's there's better ones out there that are formulated to be more gentle, soothing, released in the right layer of the skin. So it's, it's tolerated better.
Carmen Lezeth:But the needles you do. I mean, cynthia, I know you hate needles and I am not a fan of needles, like especially cause I get blood work done because of my thyroid situation, but like regularly, which is annoying me. But when you do the needle, it's like I mean we're chit-chatting, blah, blah, blah. You're like boom, boom and I'm like am I done? You're like, you're done.
Nilu Rustomji:Like needles are really thin that you use too. Yeah, very, they're like little insulin syringes. They're very tiny. Yeah, very, they're like little insulin syringes are very tiny usually I'll be tapping you to like help distract you.
Carmen Lezeth:You have a little squeezy ball. I'll be like squeezing the ball or whatever, and then I'm like I don't squeeze the ball no more, you know we're usually chit-chatting, we're having fun in there, so you know weird.
Carmen Lezeth:I know it's, you're very good at it. I mean I, I know you know that, like I've said that to you, but you're but it's the most comfortable I've ever been. I enjoy going to see you because I always feel good when I leave too. So it's not just the work that you're doing and this is just my experience, but you can tell me what the correct thing is. But when you get Botox done, it takes a few days for it to actually kick in. So it's not like you get it done and all of a sudden you're, like you know, wrinkle free. It takes time, but when I go and see you I feel like so relieved because I feel like I had some self care.
Nilu Rustomji:Yes, a thousand percent, and I almost see it as like acupuncture because it's little needles. So, cynthia, you were asking about like migraines before. So we, we don't. You know it's technically medical treatment with migraines, but sometimes I'll do little areas for patients. If they need it for tension release, so like for grinding people grind a lot at night and the temples with grinding and like migraines and, yeah, sometimes they say they feel like immediate relief. So I do think that there's something to be said about that, about just like the needle relief.
Carmen Lezeth:I've tried it in different places too, like cause we were trying to see if we could cause I'm starting to get like little jowls here anyways. And so instead of you know, I, I never want to have surgery again. Knock on wood. Like after having my hip surgery, I never want to have surgery again. But we tried it there and I was like okay, it didn't really do anything so, and there was no pressure like oh, you have to try it again or you have to do it this way or whatever. It was like okay, it didn't work, it's fine, you know what I mean? It didn't work for me, but the needle didn't hurt here either, I think that's just the technique you use or something I don't know what about what?
Cynthia Ruiz Lopez :I'm sorry, cynthia um, my question is um, so once you start it and you know you're going for a few months here and there, do you have to continue, or can you just stop at any time and not do it ever again? Or is it something that you always have to keep doing?
Carmen Lezeth:no, you have to do it all the time.
Nilu Rustomji:Yes, yeah, yeah, absolutely you can stop. And yeah. So patients often ask like, well, if I stop, are my wrinkles going to be worse? No, you know. So you can stop at any time. You just go back to you know your baseline. But, like you know, if you've been doing Botox for five, 10 years and then you you stop, you know you also age during that time you might have like a little more sun damage or you know things like that. But you know, if you're consistently doing it, you are sorry, you are preventing it lines from forming and getting deeper as well. So that's why a lot of people see it as like preventative Botox. Um, because you're preventing deep creases and lines from forming over time. Um, so even if you decide to do, you know, stop one day your skin's probably still going to look better than it would have had you not done it.
Cynthia Ruiz Lopez :Right.
Nilu Rustomji:And actually, you know, I think too, like if you're investing all this money to get injectable treatments, you're probably investing in self, like skincare too, at home, or using sunscreen or using retinol. You're probably doing other things without even really knowing it. That's also helping, but it but it's it's.
Carmen Lezeth:it's like getting your hair done, in a way Like you don't have to get your hair done, but you choose to do it when you want to. And like I'm not on some regular schedule, I just know when I can see the line here. That's when I go in. You know what I mean. Like when I start to see that whenever, like I'm smiling or something, and the line comes here, I'm like and making the phone call.
Nilu Rustomji:Yeah, time to make the phone call hey, this is what you look like actually. You know like oh yeah, I forgot that that's what it.
Carmen Lezeth:Yeah, you, you, yeah, and I and I do have a very deep line here because I'm in my fifties, like it's natural to have that, you know. But what I love is that I did it for myself, not for anybody else, and I think that's the other part of it too is that you're not doing it, oh, for a boyfriend or whatever, and I want to look young. It's like no, I just I don't like that crease Cause it. It makes like it breaks up my face. To me it does. I don't like that crease because it makes like it breaks up my face To me it does. I don't like it, I don't mind. Like someone had someone I know exactly who was surgeon we talked about earlier. It's like we could really do some work on those laugh lines and I was like OK, first of all, laugh like that's natural to me.
Carmen Lezeth:I don't want no offense. I love Angela Bassett. Cynthia, you know the show's on tonight, right? I love Angela Bassett with all my heart, but I hate the filler. When people put filler here and I know she's had it, you can see it.
Maurio Dawson:Are you coming for the queen of Wakanda? Are you coming for the queen of Wakanda? Are you coming for the queen of Wakanda?
Carmen Lezeth:I feel comfortable with the queen from Wakanda because she would admit it too.
Maurio Dawson:Don't do Tina Turner okay.
Carmen Lezeth:You don't know what I'm saying. It's the obvious person. I just don't like the, but someone had told me that I should get that because I have laugh lines and I'm like I'm not doing laugh line filler.
Nilu Rustomji:You're a happy person. You have smile lines. I couldn't even imagine it. And then, yeah, if you overdo that, people start to look like apes. Actually, babies have teardrops. You know it's natural to have.
Carmen Lezeth:Yeah I like the naturally look.
Maurio Dawson:I like the natural look I do have one question what about does botox help with tendinitis?
Nilu Rustomji:tendinitis, or like oh tendinitis yes, oh, interesting.
Maurio Dawson:What was the question? I'm sorry I have. I'm sorry tinnitus.
Nilu Rustomji:I'm sorry that's why I was wondering if you were okay, like so the ringing in the ears yes that was a great. That's a great. Not that, not that I know of, but I wouldn't be shocked if it did. No, not that I know of. But again, sometimes I find out botox helps with certain things and I'm shocked. I'm like what? Like I recently read um, my mom was having like, not her, it was like her achilles, but the muscle underneath, like the sole of her foot, and they do botox for that to like help with the with the pain yeah
Maurio Dawson:I have plantar fasciitis, and they do it yeah, thank you thank. Thank you.
Nilu Rustomji:Yep, yep. So yeah, not that I, not that I know of, but that would be cool, interesting. Maybe you're onto something Mario.
Carmen Lezeth:What are some basic skincare tips you would tell us to do that have nothing to do with Botox or injectables or whatever? What are some ideas that we can do to have great skin as we age?
Nilu Rustomji:Retinol. Again, it's a great one. Most patients can use it. Obviously, talk to your provider. There's some exceptions, like if you have eczema or rosacea. Maybe you'd have to use gentler forms, but retinol is the easiest best thing you could do. Sunscreen mineral-based sunscreen. So sunscreen that has zinc or titanium in it is best the over-the-counter ones with like chemical ingredients like oxybenzone. Those aren't as good. Vitamin C Vitamin C is great for collagen. Sun protection. Helps with pigmentation. Anti-aging. Wash your face. A lot of people don't even do that, really. Yeah, I feel like sorry, sorry, what do you?
Carmen Lezeth:mean people don't wash it, there are people there are people that don't do it I wash my face in the morning and at night.
Nilu Rustomji:I'm sorry yeah, or they'll only wash, you know, once, once in the day, I don't know. No, I well, because at night you do sweat, you know once in the day, I don't know.
Carmen Lezeth:No, I well, because at night you do sweat. You know what I mean. You do have a little, well, I do. I don't know what you guys are doing at night.
Maurio Dawson:She's like I don't know what you're doing at night, but I don't sweat.
Carmen Lezeth:No, but I'm just saying like I, and so of course, at night I take off whatever makeup I may have on, but also just like a cleanse, you know just.
Nilu Rustomji:I double cleanse, not not always, but I wear makeup or tits. It's sunscreen. I'll double cleanse, for sure.
Carmen Lezeth:Yeah, I don't get the People really don't wash their face. You know, I was shocked to hear that people don't wash their feet. I was shocked by that, so I don't know why I'm the water run down their feet. I'm like what? Oh no, when they're in the shower they just assume, because they're showering, that the water will get to their feet. And I'm like, okay, and that cannot. And now I'm glad I shared it with all of you because it cannot get out of my head now.
Rick Costa:Okay, something I learned because of some karma, I think said, was because I had this misconception that you don't go there, walk out of the office and you already have instantaneous results. It actually takes a little bit of time, right.
Nilu Rustomji:For the re-correlaxer treatments? Yes, so like Botox, dysphora, those types of treatments, it takes a few days to a couple weeks, so usually we say 10 to 14 days.
Maurio Dawson:So it would say 10 to 14 days. Yeah, it takes 10, 14 days for it to really show a full effect.
Carmen Lezeth:Yeah.
Rick Costa:Really I didn't know that.
Carmen Lezeth:Yeah, so that's why, when I start to see the line, I know it's going to get much deeper. So that's when I make my appointment, cause it'll be a couple of weeks before it goes away. Like it, you can't see it now and it's not because of me, it's because I've had it done. Yeah, there is no like, even if I try to do it, you can't do it because that will keep doing it. But I remember somebody I think it was you or maybe it was one of other counterparts.
Carmen Lezeth:I was like every time I do like when I scrunch my eyes, they're like then stop scrunching your eyes together. Like I do this and you're like, don't move your arm that way. But yeah, but it takes a like. For me, it's usually like I almost immediately see it here, though, like within three or four days.
Cynthia Ruiz Lopez :Is that?
Carmen Lezeth:normal. I guess it's a thinner skin or something, I don't know. But yeah, it's usually like a little bit before you see it fully take effect. Yeah, and you end up with this.
Cynthia Ruiz Lopez :Well, I have to say that, like I've definitely seen this wrinkle relaxer in a whole new light, because I you know I was I was always against it. I hate needles, but the way you describe it and everything it actually it opens people's eyes and minds to the to the whole idea of it, and it's not just for wrinkles, like you said. You know people have excessive sweating and things like that are different, different issues that it works are you gonna get it done now, cynthia.
Carmen Lezeth:I don't know, maybe that's gonna get you for your birthday. It's gonna be all smashed. I'm so glad you came on.
Nilu Rustomji:Thank you so much thank you for having me.
Carmen Lezeth:This is wonderful no, I just feel like, first of all, I'm so glad we met, I'm so glad we've become friends and I know I'm your client, but I just really appreciate you coming on and I hope you'll come on again. Send my client. But if people want to reach out you, if they have questions or they'd like to meet with you, even if they're not here in Santa Monica or in California, they can go to your website at your skin coach, nilucom. They can ask you a question or whatever and maybe you might be able to refer them or give them some more advice or information. Of course, if you're in Santa Monica or in California, please, please, please, go and visit Nilu. She is amazing. I just sang in all right there. But, yeah, thank you so much for coming on. And Rick Costa, thank you for being here. Mario, we miss Alma, but we love that she's listening. She's listening, and Cynthia, as always, and everyone. Thank you again. Neelu, thank you again and everyone. Remember, at the end of the day, it really is all about the joy.
Cynthia Ruiz Lopez :All about the joy.
Carmen Lezeth:Bye guys, Bye everyone, Bye, Bye. Thanks for stopping by. All About the Joy. Be better and stay beautiful folks. Have a sweet day.