Speaker 1 (00:07): You're listening to The La Jolla Cosmetic Podcast. Monique Ramsey (00:14): Welcome, everyone, to The La Jolla Cosmetic Podcast. I'm your hostess, Monique Ramsey. Today on the podcast is a very special someone. Her name is Kathleen Lisson. She's a patient. She also cares for a great number of our patients who are recovering from surgery through her work. Today we're going to talk about her own story of having surgery and have her help those of you who might be thinking about some of the procedures that she did. Welcome, Kathleen. Kathleen Lisson (00:47): Hi. It's so wonderful to be here. Thank you so much. Monique Ramsey (00:50): Tell us a little bit about yourself and your job. When you're not coming in for something fun with us, what are you doing? Kathleen Lisson (00:58): I'm a lymphatic massage therapist. I'm actually a lymphedema therapist by training, and I help people after plastic surgery. I'm 100% plastic surgeon referrals, so all my clients are referred by their plastic surgeon. Basically, I take the skills and tools that I learned in lymphedema therapy to take care of the swelling and fibrosis that people will get after cancer treatment, and I apply them to the recovery from plastic surgery. Monique Ramsey (01:28): You just had some surgery with us, with Dr. Brahme, as I recall. Kathleen Lisson (01:35): Yes. Yep, about a little over six months ago. Yep, he redid my whole face, everything. Monique Ramsey (01:41): Tell us what was bothering you. What made you decide to go forward? Kathleen Lisson (01:46): Yeah, it's a poignant story for me because it starts off with blunt force trauma, which is how I meet all the doctors that help me. I have this practice. I knew Dr. Brahme. I knew of his work. I had seen his patients on my table. Then I was hiking in the desert, and I lost consciousness. I fell, and I broke my nose. I woke up. Yes. If you can only see Monique's face. Monique Ramsey (02:15): I know. My mouth is wide open. I'm like, I did not know this. Kathleen Lisson (02:19): Yeah, this is what's so wonderful. I've been coming to the practice for a bunch of years. I've been upstairs. I'd had my Botox. I'd had my facials. It's like, I knew of the practice. This is why I really recommend, start with the med spa and build that relationship, so if something like this happens to you, you can have the same great result as I did. Kathleen Lisson (02:42): I came back to consciousness. Here's the paramedic, looking over me. What happened? I'm kind of confused. Then this first thought is, "Oh, my nose, broken." Then the second thought was... I looked at him. I was like, "Is my nose broken?" I wanted him to tell me it was because when he told me it was, I said, "That's great. I know a plastic surgeon." Kathleen Lisson (03:08): I'm 48 now. I was 46 at the time. It's getting into facelift territory, right? I'm beginning to see some things that I don't like so much with my neck, and with sagging, and the fats going down. My nose... I'd always had a deviated septum. My nose is a little crooked. How am I going to convince my husband to let me have... That's a hurdle that- Monique Ramsey (03:33): Hey, we're going to stage a fall in the desert. Kathleen Lisson (03:35): When I save my money. All jokes aside, they had to med flight me back to San Diego. Monique Ramsey (03:46): Wow. Kathleen Lisson (03:46): I'm in that helicopter that you see flying in the sky and landing on the top of the hospital. The whole time, I was like, "You know what? I'm safe. I'm cared for. My angels are around me." Kathleen Lisson (04:00): I know what the next step is. All I have to do is stay healthy. I know the person who is... I'm going to go to him because he has spent his life learning how to help people like me. He went to the medical school. He's so highly trained and qualified. I know that he is going to be the one to help me. Monique Ramsey (04:22): Wow. That's amazing. I did not know that. I just thought, "She wanted to get some things done," as you do. I didn't realize there was that critical moment that kind of started the whole thing. You had your surgery in December. We're in June. We're in July now, so six months ago. Had you met Dr. Brahme before since you might have taken care of some of his patients, or not really? Kathleen Lisson (04:46): Yeah. I met Dr. Brahme. Within the first five minutes of meeting him, three minutes of meeting him, the idea came into my head that, just his presence, the way he is with people, I knew that if I was going to have surgery, it would be with him. If I wanted to ask a question or a stupid question, or I was being emotional about something, I don't feel like he would ever dismiss me. Kathleen Lisson (05:13): That's a very important thing to choose with a surgeon. You never want to have a relationship, a medical relationship with anybody who is going to be dismissive of you. Then also, what I had seen overall from all the doctors that I've worked with, their clients at La Jolla Cosmetic Surgery, is that they give the clients the results that they want versus results for a before-and-after on Instagram or some kind of cookie-cutter result. Kathleen Lisson (05:46): That was also very important to me because I want to look like the best version of myself. I didn't want to look like somebody else or look like I was overdone. I wanted to have a nose that was functional, and straight, and beautiful and a face that looked young, but I wanted to get the results that I'm actually getting now, which is people who didn't know me that well don't know I had plastic surgery because I don't look like I've, quote, "had plastic surgery." I look young. I look refreshed. Monique Ramsey (06:20): Right. Tell us about the procedures you had. Kathleen Lisson (06:24): Okay. I never know where to start. Do I start from the collarbone and work my way up? I had a facelift, and a neck lift, and a chin implant, which balanced out because my nose... I had my father's chin, not anymore. I had my father's chin. Kathleen Lisson (06:41): Then he could grow a beard, but girls can't grow a beard to fluff out that area. I had the rhinoplasty, but he also fixed my septum. I can actually breathe out of both nostrils, which is amazing, and it's straightened. Then I had liposuction, fat transferred to the cheeks, and I had a brow lift. Monique Ramsey (07:03): Wow. How was that to heal from? Tell me about the first 48 hours. Kathleen Lisson (07:08): I will say, if I could offer one advice, but having the nurse there and being in the hotel versus in your house. The quote at home is, "My husband's a doctor, but he's not a medical doctor." He has his PhD in mechanical engineering. Monique Ramsey (07:29): Oh. Kathleen Lisson (07:29): I'm like, he loves me. He can hold my hand, but he is not going to dispense my medications. Having someone with a medical background and then that person, anything... I saw her on the phone that night, so I know that she was communicating with the doctor, "This is how Kathleen is." Monique Ramsey (07:47): Wow. Kathleen Lisson (07:47): It's that direct line back to your doctor. Then he was able to come the next morning, and check on me, and take the drains out, and make sure that I was all right. That was key for me because I didn't have to get into a car the next morning and drive all the way to the office. He comes to you in the hotel room. Monique Ramsey (08:07): That's nice. I think you had multiple procedures. Sometimes the person who's with you, that might be beyond their pay grade to be able to- Kathleen Lisson (08:18): Absolutely. Monique Ramsey (08:20): Because they're worried about you, or there's an emotional connection, where a nurse doesn't have that. It obviously depends on the person, but having that person who isn't putting too much on them versus saying, "You know what? Let's just have a nurse. I'm not going to go home," because sometimes even going home... I have to say, after I had my facelift, I went home. I felt so sick. Somebody was cooking. Monique Ramsey (08:48): I think my mother-in-law was there and cooking for the family, and it smelled bad to me. It made me more nauseous. I was like, I just went out of here. Then the kids are loud. I was just like, I would've paid any amount of money not to have been at home. Where you might think, "Oh yeah, home. That's more comfortable. You're in your own bed." Not necessarily. You were in a hotel. For one night or? Kathleen Lisson (09:17): We did two nights. Monique Ramsey (09:18): Two nights. Kathleen Lisson (09:18): I wanted the first night. My husband was not there. Then the second night, I could take my time getting better over the next day, and sleep in the bed, and not have to have a lot of moving around. It was great to have just some medical experience in the room overnight. Kathleen Lisson (09:37): It was better for me. It was definitely better for my husband because he could go to sleep feeling like everything's taken care of. He didn't have to have that responsibility. Then the next day, he could just come, and be like a husband, and say, "I love you," and hold my hand. It allowed him to just be a husband. Monique Ramsey (09:56): Yeah, that's nice. With the face, neck, brow, right, nose, chin... Now the lipo, I can't imagine. You're such a tiny person. Where did they take fat from to put in your face? Kathleen Lisson (10:12): My right love handle. It's the tiniest little scar, which looks like a freckle. It just looks like a freckle. Monique Ramsey (10:20): Now did you have any trouble after surgery in that first couple weeks afterwards, when you go out, hiding any scars? Did you have bruising or? I suppose you had swelling. Kathleen Lisson (10:32): Yes, swelling. Then you have to understand. I started seeing people in my office two weeks afterwards, and I still had swelling, and bruising, and scarring. This is my job. Everyone there, the amount of respect that my clients have for me has increased because I know what they're going through. I've been through surgery too. Kathleen Lisson (10:52): I wasn't expecting any pushback, but this is a big concern for many people who aren't in the profession, that they really want some answers on. When can I actually go out? When can I actually be in public and people not know? Monique Ramsey (11:09): Yeah, exactly. We had a patient, and she was the cutest thing. She had her face, neck, eyes, whatever. She felt so good. I think people think that they're not going to feel good the next day or two days later. Your head's swollen. You have some bandages, but you really don't have a lot of pain with a facelift, which is not what people expect. Monique Ramsey (11:32): She felt so good that she rearranged her library in her home, so moving books, and doing this, and doing that. I get it. I'm a type A person too. It's hard to sit and do nothing. You feel guilty. She ended up setting herself backwards. She was miserable, miserable. She hadn't been that miserable in any part of the healing process, but by doing too much, she set herself back. Monique Ramsey (11:59): Her head swelled up like a peach. I mean, I felt so bad for her. It's so easy as a patient to think, "Oh, I feel fine. I'm good. Let's go back to work, or let's do this, or let's do that," because you'd feel like giving yourself permission, like you're talking about, is sometimes a hard thing to do. Let other people do it for you. Take your time to heal your body. It's been through a lot. Doesn't matter what procedure you're having. I think it's the same, no matter the procedure. Kathleen Lisson (12:28): Yep, absolutely. We got all the food in. My husband's from India, so he made some delicious homemade Indian food, like a vegetable soup. The only thing I did was two walks. We went on two walks. Kathleen Lisson (12:47): It's so cute because I am a very independent person, but he was right next to me, holding my elbow, making sure, "Are you walking? Are you tired? How are you?" It was very nice. It's nice when often, women are the caretakers of everyone that they set their eyes on. It's really nice to be taken care of. Monique Ramsey (13:10): Now being the patient, when you're, so many times, in your business, every day, you're on the other side of the equation. You're helping take care of patients, but being a patient yourself, was it what you expected? Kathleen Lisson (13:24): No. The biggest disappointment was I thought that I would enjoy watching TV, and there's nothing. There's nothing. I had Netflix. Just, your patience is very short. Since I had the rhinoplasty, I can't put glasses on because I have a brand new nose, so I couldn't read. Monique Ramsey (13:44): Oh. Kathleen Lisson (13:44): That stuff gets really old, really quick, but the naps were really great. I took a nap every afternoon. Just, everything's going to be slower. You're going to walk slower. You're going to eat slower. That's okay. This is the time to relax and slow down. Monique Ramsey (14:04): Now we were talking the other day about... Or, I think I saw it. It was from one of your videos, actually. It really resonated with me. You were talking about getting in with your lymphatic drainage therapist kind of early, early. Monique Ramsey (14:24): Don't wait until you need it to call because then they're booked. When you're planning your surgery and if you're six weeks out, and you're like, "Okay. This is my day of surgery. I'm getting these things... I got my time off from work," and you're setting all that up, that's when you set up the lymphatic massage. I think that's what you said, right? Kathleen Lisson (14:44): Yes. What I see for success is 7 to 10 days after the facelift. I'd like to see you the day after you get your drains out with a tummy tuck. You can ask your surgeon, "What is the anticipated?" Then four to five days for liposuction. I won't take you before then. I'm dancing along the edge of, is it going to be too painful for you to have the massage? Kathleen Lisson (15:12): You're not going to be fully relaxed during it, which is... Because what I want to hear is what I hear from all my other clients, which is, "This massage is the highlight of my week. I can't wait to come back. I feel so much better. I'm smaller in my compression garment. I pee like a race horse, so I know the swelling's leaving." What's frustrating and sad for me is someone will wait, and they'll be like, "I had a facelift, and it's so overwhelming. When can I get in?" I literally don't have time for you for five days. I get it- Monique Ramsey (15:45): Right. Kathleen Lisson (15:46): From a personal, visceral level, now that I've had surgery. When they're swelling, you really want to have that help that you need. I'm super flexible, bend over backwards. Flexible, because I work with people after surgery. I was educated first as an oncology massage therapist. I get it. I've taken care of people directly during their cancer treatment. Monique Ramsey (16:08): Being a therapist yourself, I'm assuming, did you do some lymphatic drainage on yourself as you are going through the healing process? Kathleen Lisson (16:15): I did. That was perhaps the most humbling thing for me because I think I do have that little type A thing in my head. I said, "Well, I'm getting MLD. I'm going to do it on myself in the morning. That means I'm going to heal five weeks faster than everyone else." Kathleen Lisson (16:33): No, the human body heals when it heals. There is no recovery that does not involve patients. I did it every morning, but still, I'm healing up just the same as everyone else. Definitely, there's no magic. The human body takes its time to heal. Monique Ramsey (16:54): Now, what did you do, setting yourself up for success before surgery and after? If you were to say to somebody, "Here's the three things I did before and the three things I did after," that you would recommend for patients. Kathleen Lisson (17:11): Yep, absolutely. The human body should be at its healthiest when you deliver it to a surgeon. Number one, it should go without saying. Actually, crack open the book they give you at La Jolla Cosmetic and read your pre surgical instructions. No surprises are best. Kathleen Lisson (17:28): There's that appointment two, three weeks beforehand where they'll remind you of stuff, but there's some supplements that you need to go off of. I needed to go off of my birth control. There's some things that you can stay on, but I want you to have that conversation with your doctor. If you are on medication for a chronic illness, let's have that understanding. Kathleen Lisson (17:47): That will go towards the traditional tenets of rehabilitation, which is exercise, cardiovascular and weightlifting exercise, nutrition. We're getting five fruits and vegetables. If you feel like you want to have a complete plan, there are definitely registered dieticians out there that can help you with that. Kathleen Lisson (18:06): Diabetes needs to be really well-controlled. I'm a lymphedema therapist and I'm a massage therapist, but most of my colleagues are physical therapists or occupational therapists. I've learned a lot going to conferences with them. I have in my brain this idea of, we need to get people back to their activities of daily living and very simple things, like how are you going to sit? How are you, sit to stand, stand back to sit, lay down, get back up? Kathleen Lisson (18:33): If you have a tummy tuck, you are going to end up using your biceps. You're going to end up using those legs. In Brazilian butt lift, liposuction, a lot of plastic surgery, you are going to use your arms to lift you up because you can't use your trunk because that's the area you had operated on. If you can get in with a professional or you already have a current exercise that will help you use weight-lifting to strengthen up those arms, you'll be so happy that you did it. Kathleen Lisson (19:05): If you can look at videos, there's plenty of videos from occupational and physical therapists online, where they'll show you, these are different ways that you can get out of the bed and different ways that you can transition from sitting to standing. Practice that beforehand. Kathleen Lisson (19:21): The other thing that I practiced for a facelift is that I'm a little side sleeper. I like to crumple up into the fetal position. That is not how you recover from a facelift. I started three months in advance, lying on my back. Monique Ramsey (19:37): Wow. Kathleen Lisson (19:37): It takes patience. The first couple weeks, I was going to bed a half-hour early because I knew I was going to lie there and stare at the ceiling until my body finally fell asleep. That was the best for afterwards because your ears hurt so much. You can't possibly accidentally roll over and fall asleep. Kathleen Lisson (19:56): That's one of the number one things people will say is, if they have not done that and they're a traditional side sleeper, the sleeping on the back is just the insult to add to the injury after a facelift. If you can at least take that off the table, at least I know how to fall asleep on my back. All I'm dealing with is the surgery right now. Monique Ramsey (20:16): I would say, also, just from my own experience, getting yourself comfortable with pillows ahead of time too, because whether you're having a facelift or a rhinoplasty, they kind of want you elevated. They don't want you laying all the way down because you'll get all the swelling. They want you to kind of be at an angle, but then you're already kind of uncomfortable after surgery. Monique Ramsey (20:38): The first time, you're trying to figure out, what's the right angle? If you had thought about it ahead of time, you could buy a wedge. I had bought something from Brookstone or something. It could go under your legs, or it could go behind your back. It was kind of one of those reading things for in bed. It was the greatest thing because you could adjust it a little bit. Monique Ramsey (20:57): Because I think you're right. When you said, you're kind of agitated, you have no patience right after surgery. It's kind of like, even just getting comfortable sometimes is enough to set you off. If you can do those things ahead of time so that... I know. I know what angle I like it at. I know which pillows I want around me, that kind of thing. I think that's really good advice. Was there any surprises after surgery that you weren't expecting? Kathleen Lisson (21:25): You know what? I'll say, my neck. I didn't know how bad it was. It's really interesting because you have the self-concept of who you are. I had learned a long time ago, we know our angle and our best. We know to stick the chin out. It was hard for me to find a picture that I can illustrate, the fact that I had a lot of extra skin. I had a receding chin, because we delete them. The 110 film with the brownie camera is gone. Monique Ramsey (21:59): Right, right. Kathleen Lisson (22:00): There are no bad shots. It was very interesting for me to see how well it's turned out because I didn't know... A lot of people are like, "I didn't know it was that bad." You didn't know it was that bad until now. My husband was matter of fact, but he was supportive. Kathleen Lisson (22:20): Then interestingly, one time, he said, "Oh, I can see what the surgery did." I was like, "What do you mean?" He's like, "When you turned your head to the left, on the right collarbone, the skin moved." Kathleen Lisson (22:34): I had extra skin, so I could turn my neck. There was so much skin. It wouldn't actually move. He's like, "Now I can see you have the correct amount of skin for your neck." Monique Ramsey (22:50): An engineer would be doing that. Kathleen Lisson (22:52): Yeah. He was like, "I see how you've optimized the amount of neck skin you have. I'm going to write a well-worded letter to your doctor, succeeding on optimizing my wife." Monique Ramsey (23:05): That's funny. I think you're right. We don't see ourselves in profile. A lot of times, if you have a receding chin, you don't necessarily know it because you're not looking at that angle, ever. I remember when I used to do the imaging at the center, for facelifts too, they were like, "Oh, that's what my neck looks like? Sign me up." Monique Ramsey (23:26): I think the most satisfying thing is, after any surgery, to kind of come back, let's say, three months later or six months later, and you put that before-and-after next to each other. It's like, "Wow, okay. That was worth it." What would you tell someone who's listening right now about how to look for a plastic surgeon? Kathleen Lisson (23:46): It's a very personal decision. You have to decide what your standards are for the education of the surgeon. I believe anyone who's a doctor can pick up a scalpel and do any type of surgery. They can do it because they have a private office. You don't necessarily have to have hospital privileges to do surgery anymore. Education was very important to me. Kathleen Lisson (24:15): Also, the bedside manner was important to me because I needed to know that if I had a question, that it would get answered. Actually, one of the things we didn't get to talk about today was the staff here, which I think is... It's more than icing on the cake. It's like icing on the cake, but it's also like a layered cake, so the icing is in-between each of the layers. They're responsive, and they get you. They have a personality. Kathleen Lisson (24:43): You feel like you can be open with them and share because recovering from surgery is disgusting. Honestly, parts of it are disgusting because we're dealing with the human body. It's not all Instagram-filtered. It's real. Part of surgery is at one week, and two weeks, and three weeks, you think it's a bad decision. You have to have enough support there that is going to get you through that dip and keep the hope alive until you can actually see the fruits of what you did and see that it was, in fact, a good decision. Monique Ramsey (25:21): I think our team is incredible. Of course, I've known some of them for 20 years or more. Dr. Brahme, specifically with his nurse, Cristina... We call them our Swedish bobsled team because they're both Swedish. She understands him, and she understands our patients. Monique Ramsey (25:40): If you think about, when you see your surgeon, you see your surgeon at consult. The most time that you're with your surgeon is when you're asleep. You're asleep on the table, right, and they're doing their thing. Then afterwards, you see them, but you really are connecting more with the staff probably on a frequency basis, whether email, or text, or visits. That staff component is super important and that you feel comfortable not just with the surgeon but with the staff. Kathleen Lisson (26:10): That's the bottom line, because I want to go a little bit into the question that no one really wants to think about. That is, when something goes wrong, what happens next? The ideas that there are complications in surgery... I want to know what is going to happen and how that surgeon is going to behave. Kathleen Lisson (26:32): I have definitely heard nightmares from people on my table that did not go to a surgeon in this practice that were made to feel guilty that they had a complication. I know. I've stunned her again. Monique Ramsey (26:45): Wow. Kathleen Lisson (26:46): At the beginning of the interview and at the end. Monique Ramsey (26:48): My mouth. Kathleen Lisson (26:49): She's stunned once again. It's a moment when the patient is at their weakest. They have invested money with you. This should be taught in medical school. What they teach you in the medical school is how to fix stuff when it goes wrong. When the rubber meets the road, is, how responsive are they going to be? It doesn't have to be a giant complication. It can be, you woke up, and you just have this tiny little question or this thing that you think is irrational, and that they are not going to disrespect you. Kathleen Lisson (27:21): When I wanted to have my own plastic surgery experience, I wanted to know my doctor is board-certified. The anesthesiologist is board-certified. The therapist that's going to help me with my massages is board-certified. I'm going to have a member with medical expertise in that hotel that night because if anything goes wrong- Monique Ramsey (27:44): Right. Kathleen Lisson (27:45): I know that Dr. Brahme would be there as soon as he could be to check on. I wanted that quality of doctor. If I'm going to let someone cut my face open, I am going to have all the resources on my side that I possibly can. Monique Ramsey (28:01): That's such great advice. We're a big practice. We've got six surgeons, but we never want it to feel like a mill: next, next, next. That's just not who we are. I think the one great thing about a practice like ours, that Dr. Brahme... Let's pretend he went on vacation two days later. Four days later, you're having an issue. There's five other surgeons who can take care of you. Monique Ramsey (28:24): That's important. Then I think also that having that support system around you with the staff. Like you say, doing your homework ahead of time. Are they board-certified, question mark? If so, in what? We have a lot of resources on our website about how to check out the board certification of your doctors. We'll put those in the show notes just because it's really important to understand, what does the accreditation of the OR mean, or what does certification of the doctor? What should I be looking for? How can I validate to know? Monique Ramsey (28:55): I think going to other countries, we are so close to the border. People do tend to think, "Oh, well, I could just go over the border, and it'll be 30% cheaper or whatever." Again, if something goes wrong, then what happens? Who's going to take care of you? These are all really good questions. I thank you for coming on today and talking with all of us about them. Kathleen Lisson (29:17): Thank you so much. Monique Ramsey (29:19): Is there anything I've forgotten to ask? Kathleen Lisson (29:22): I think if you're in San Diego, I encourage you to stay local. There is so much quality surgeons in this city. The one interesting thing that happened to me after surgery was I came in. I was going to have some of my stitches out. She went to take one stitch out in the brow. She was like, "You know what? It's too soon. We're going to let you wait a couple days and let this heal to where I want it to heal. We'll just rebook you." Kathleen Lisson (29:52): I came in here several times. I think this is a mark of the quality. They're not nickeling-and-diming, and trying to be like, "Oh no. We only want people to come in two times afterwards." Monique Ramsey (30:06): Oh. Kathleen Lisson (30:07): They're going to book you in for an appointment and see you as many times as it takes at no charge to you until they get the results that you deserve. I've never felt rushed at any time in this practice. I've seen nurses from several different doctors in this practice, depending on who is here. There's no silos, which is, well, this nurse doesn't work with that one, and you have to wait. Kathleen Lisson (30:32): None of that is here. I feel like it's a group of colleagues. The nurses are all respected by the doctors because I got to tell you. I have nurses on my table. I've heard what happens in operating rooms. I've only heard glowing reviews of all the staff, and their cooperativeness, and their collegiality in this practice. Monique Ramsey (30:58): Yeah. We don't have any scalpel throwers. I've heard horror stories about doctors who throw a scalpel across the OR because they're mad about something, or you didn't anticipate his next move. It's just like, we've never had anyone in our practice who's like that and the attitude. Monique Ramsey (31:15): I think they really will work with each other, but they're also really kind people. They're nice to work with. I think that's why we keep our staff so long because they enjoy being with doctors who are kind, and good, and who are going to stand behind their work. Nobody likes to see a complication, but like you say, what happens? We've been around 34 years now. Things go wrong. They're not always perfect, but we're going to try to make it right. Anyway, well, thank you again. Kathleen Lisson (31:44): Thank you. Monique Ramsey (31:46): Are you okay with showing some of your before-and-after pictures if we put those in the show notes? Kathleen Lisson (31:50): Absolutely. Absolutely. I look fantastic. Monique Ramsey (31:55): Yes, you do look fantastic. We'll have those in the show notes. Thanks so much for telling your story, Kathleen. Kathleen Lisson (32:01): Thank you. Have a good day. Speaker 1 (32:09): Take a screenshot of this podcast episode with your phone and show it at your consultation or appointment, or mention the promo code PODCAST to receive $25 off any service or product of $50 or more at La Jolla Cosmetic. Speaker 1 (32:23): La Jolla Cosmetic is located just off the I-5 San Diego Freeway in the XIMED building on the Scripps Memorial Hospital campus. To learn more, go to Ljcsc.com, or follow the team on Instagram @LJCSC. The La Jolla Cosmetic Podcast is a production of the Axis, the axis.io.