Find or Get Your Medspa Certified: https://medspaboard.com/

What does it actually take for the nursing board to show up at your med spa with a hidden camera and a badge?

Dr. Kate Dee sits down with Shonra Weiss, a nurse practitioner, med spa co-owner, and consultant who reviews cases for the California nursing board. Shonra has seen what these investigations look like from the inside: the complaints, the undercover visits, the social media evidence, the patient records, and the mistakes that can put a license at risk.

This episode reveals how nursing board investigations actually start, what triggers them, what investigators look for, and why doing the right thing for your patient may not be enough if the rest of your practice does not hold up.

You’ll hear about providers practicing on suspended licenses, nurses treating patients without proper good faith exams, standing orders being misunderstood, and medical directors who are too remote to manage the complications happening under their license.

Shonra also shares the cases that are harder to forget: patients dismissed when they reported serious symptoms, one case involving permanent injury, and another involving scarring that may never fully heal.

Chapters:
00:02:30 - How Med Spa Complaints Start
00:03:23 - Are Investigators Watching Instagram?
00:04:54 - When RNs Treat Without Orders
00:06:05 - Standing Orders Are Not Blanket Permission
00:10:00 - Remote Medical Directors Put Patients at Risk
00:14:17 - What a Real Patient Evaluation Requires
00:19:36 - When Complications Get Ignored
00:21:46 - The Filler Risks Patients Never Hear
00:23:21 - Informed Consent Is Not a Form
00:26:20 - What Safer Filler Aftercare Looks Like
00:30:13 - Why Bigger Violations are Missed
00:32:49 - What Real Medical Oversight Looks Like
00:37:24 - How Complications Happen
00:40:20 - Raising the Standard for Med Spas

But here’s the part that matters most: some of these providers thought they were doing everything right.

If you work in a med spa, own one, or book aesthetic treatments, you need to understand what is happening behind the scenes right now.

Press play and learn what the nursing board already knows, and what it could mean for the med spa you're trusting with your face.

Connect with guest: https://www.aestheramedspa.com/

Find or Get Your Medspa Certified: https://medspaboard.com/

Grab Your Copy of Medspa Mayhem the Book Today: HERE

Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.

Find a certified provider near you → MedspaBoard.com

Want the anti-aging essentials I actually use: Download my FREE Gift Guide

Follower Instagram: instagram.com/drkatedee

Please leave us a review on Apple Podcast: HERE

Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee

GLOW Medspa - Seattle, WA: https://glowspaseattle.com/

Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.

Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...

Find or Get Your Medspa Certified: https://medspaboard.com/

If something goes wrong on the operating table, do you know who's actually responsible?

Dr. Kate Dee sits down with Dr. Alexander Zuriarrain, a Miami-based plastic surgeon with four board certifications and years of experience as a medical-legal expert witness.

He has reviewed the cases where cosmetic procedures went very, very wrong. And he is here to explain what patients rarely see before they book.

You’ll learn why “awake facelifts” are one of the most marketed and misunderstood procedures in cosmetic surgery right now, and why sedation, local anesthesia, and poor patient selection can create serious risks. Dr. Zuriarrain breaks down what separates a bad outcome from real malpractice, and why many patients don’t understand the difference until they are dealing with a result they never expected.

He also shares the red flags patients almost never think to check, including one resource hiding in plain sight that can reveal how a clinic actually operates behind the scenes.

Chapters:
00:01:30 - Does Florida Have a Hidden Surgery Problem?
00:03:25 - Plastic Surgeon vs Cosmetic Surgeon
00:06:53 - Who Should Touch Your Face
00:10:25 - The Awake Facelift Risk
00:13:02 - When Local Anesthesia Turns Dangerous
00:16:00 - Why Bad Surgeries End Up In Court
00:17:23 - The Procedure Patients Think They Need
00:18:54 - When Complications Become Devastating
00:22:40 - Bad Outcome or Malpractice
00:30:56 - Social Media Changed Plastic Surgery
00:35:15 - The Medical Director Red Flag
00:36:39 - How To Vet A Surgery Clinic
00:44:23 - Don’t Make This Decision Alone

If you’re considering any cosmetic procedure, or you just want to understand how these clinics really work behind the scenes, this episode will change how you research any practice going forward.

Stay until the end as Dr. Zuriarrain shares one detail about deceased medical directors that most patients would never think to check.

Press play and learn exactly what to ask before you let anyone touch your face.

Connect with Dr. Z: https://www.zuriplasticsurgery.com/

Find or Get Your Medspa Certified: https://medspaboard.com/

Grab Your Copy of Medspa Mayhem the Book Today: HERE

Learn about The MedSpa Board — the national registry that verifies legally compliant, doctor-led med spas.

Find a certified provider near you → MedspaBoard.com

Want the anti-aging essentials I actually use: Download my FREE Gift Guide

Follower Instagram: instagram.com/drkatedee

Please leave us a review on Apple Podcast: HERE

Catch full podcast episodes on YouTube: https://www.youtube.com/@DrKateDee

GLOW Medspa - Seattle, WA: https://glowspaseattle.com/

Disclaimer: This podcast is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before any aesthetic procedure.

Med Spa Confidential with Dr. Kate Dee exposes illegal practices, compliance failures, and patient safety risks inside the medical aesthetics industry. Consumers learn how to find licensed injectors, avoid counterfeit products, and make safer treatment decisions. Med spa owners and providers get real accountability, industry standards, and a pa...