Cover image of show Behind the Dirty Needle

Behind the Dirty Needle

Podcast by Catherine Kivell & Kristin Polito

English

Culture & leisure

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About Behind the Dirty Needle

Ever wondered what really goes on behind the scenes in the medical aesthetics industry?If you're craving the unfiltered truth about med spa owners, diva injectors, and the shocking realities of real aesthetic practices, you're in the right place.Welcome to Behind the Dirty Needle-the podcast that lifts the veil on the beauty industry's best-kept secrets.We're exposing real stories from real practices (while keeping identities anonymous) and giving you the knowledge you need to stay safe in the world of medical aesthetics.Get ready for the tea, the truth, and the unfiltered reality.

All episodes

14 episodes

episode Episode 14: Brotox and Beyond...Why More Men Are Hitting the Med Spa artwork

Episode 14: Brotox and Beyond...Why More Men Are Hitting the Med Spa

Men. Needles. Jawlines. Welcome to 2025, where the phrase “I’ve got a guy for that” might just mean a Botox injector. In this episode of Behind the Dirty Needle, we’re diving into the not-so-secret world of male aesthetics — from Brotox and beard-line lasers to jawline filler and CoolSculpting for the dad bod. The stigma is fading, the syringes are flowing, and the med spa isn’t just for Real Housewives anymore. We’ll break down: * The most popular treatments men are booking (and why) * How med spas are rebranding self-care as “performance optimization” * The marketing language that makes Botox sound more like a power tool than a beauty treatment * Why some guys still hide it… and why others are proudly posting it Whether your man is still pretending that glow is just from creatine, or he’s asking for your injector’s number, this episode spills the tea (and maybe a little hyaluronic acid) on the bro glow-up. Spoiler: “Skin fitness” is just a rebranded facial, and we see you, Kyle.

25 Jun 2025 - 16 min
episode Episode 13: Volume, Glow, and ...Granulomas? The Real Deal on Sculptra artwork

Episode 13: Volume, Glow, and ...Granulomas? The Real Deal on Sculptra

You’ve heard the buzz — Sculptra promises natural volume, glowing skin, and long-lasting results. But is this biostimulatory injectable really the collagen dream it claims to be… or a delayed disaster waiting to happen? In this episode of Behind the Dirty Needle, we break down everything you need to know about Sculptra: how it works, why people love it, and the not-so-glamorous risks that don’t make it into the marketing. From granulomas and migration to complications with future facelifts, we’re spilling the clinical tea and helping you figure out if this treatment is a smart investment — or a collagen landmine. We’ll share: * What makes Sculptra different from filler or Botox * Who it’s great for (and who should run far, far away) * The red flags to look for when choosing a provider * Real stories of Sculptra wins… and horror shows Whether you’re a patient considering it or a provider offering it, this is the real deal on the injectable that’s definitely not just another filler.

18 Jun 2025 - 24 min
episode Episode #12: WTF is on Your Face?! artwork

Episode #12: WTF is on Your Face?!

Beef tallow. Diaper cream. Vaseline facials. If your skincare routine sounds like a barbecue-slash-baby shower, this episode is for you. This week on Behind the Dirty Needle, we’re diving face-first into the most unhinged skincare trends clogging up your feed (and your pores). From TikTok’s obsession with “ancestral skincare” to slugging your way into a breakout, we’re calling B.S. on the DIY madness — and offering science-backed alternatives that actually work. We break down: * Why beef fat doesn’t belong on your face * The real risks of slugging * What diaper cream can and can’t do * Treatments that actually deliver glow (hi, SkinPen) * Major red flags to avoid in your skincare shopping scroll Greasy, gimmicky, and possibly infectious — it’s time to separate the trending from the terrifying. Tune in, wash your face, and step away from the butt paste.

11 Jun 2025 - 22 min
episode Episode #11: Do You Have To Be Crazy To Own A Med Spa? artwork

Episode #11: Do You Have To Be Crazy To Own A Med Spa?

Welcome to the wild world of med spa ownership—where the Botox is flowing, the laser is always “down for maintenance,” and the front desk staff might be one Yelp review away from a full-blown meltdown. In this episode, we ask the question no one in this industry wants to answer honestly: Do you have to be just a little unhinged to own a med spa? Kristin and Catherine pull back the curtain on the entrepreneurial chaos behind those serene spa playlists and rose gold logo walls. From ego-driven injectors and turf wars with derms to the backend circus of managing staff, inventory, compliance, and that one patient who thinks Groupon equals VIP—this is the real tea. Whether you’re a med spa owner, an aspiring one, or just someone who’s ever wondered how the hell these places run (or don’t), this episode is for you. Warning: listening may cause an involuntary eye twitch and an urgent desire to audit your Malpractice insurance.

4 Jun 2025 - 19 min
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