Rebekah and Janelle open this episode of Operation Med Spa by calling out what everyone feels but rarely says out loud. The aesthetic industry is not predictable anymore. Seasons do not behave the way they used to, filler revenue is soft in many markets, and social media can flip a service category in a matter of months. Instead of reminiscing about the “old days,” they walk through how to adapt.

They start with filler. Both see double digit drops in some practices and tie it directly to algorithm driven fear. Influencers outside the industry talk about filler as outdated, while some voices inside the industry share complications without context. Patients who are new to aesthetics assume that rare events are the norm. Rebekah and Janelle push leaders to reset the narrative with education, honest consultation, and smart campaigns aimed first at existing, trusting patients rather than strangers online.

From there they move into GLP 1 use, highlighting the NewBeauty “wish I had known” data on volume and muscle loss. They frame this as a huge opportunity to guide patients before and after weight loss with bio stimulators, muscle toning, skincare, and realistic planning instead of quick fixes.

They finish by breaking down two big buzzwords: regenerative and wellness. Most consumers say they want regenerative options but cannot define them. The hosts remind listeners that many clinics already offer regenerative care through lasers, PRF, bio stimulators, and energy devices. Wellness often requires more buildout, yet practices that added IV therapy, hormones, peptides, or GLP 1 management early are now seeing strong growth that helps smooth out volatility.