Cowboy & the Queen of Aesthetics
Aug 11, 2026 · 22 min · 10 segments
What if your injector could actually see what’s happening beneath your skin before placing a needle? In this episode of Cowboy & the Queen, we’re diving into one of the most exciting advancements in…
So, you know, let's start out simple.
Um, ultrasound in aesthetics allows us to see, um, underneath the skin in real time things that we cannot see with the naked eye.
And so it helps us visualize blood vessels, filler placement, um, tissue planes, and honestly identify complications, whether they're, you know, certain things like occlusions, nodules, migration.
I mean, the list goes really on and on, Wyatt.
Yeah, 'cause it's, like, literally, you know, turning the, you know, turning the lights on because without it, we're, you know, we're, we're...
in still many ways, you're, you're, you're, y'all are, you're working blind pretty much.
[laughs]
No, absolutely.
And, and this is where ultrasound changes everything.
Injecting from, you know, goes from educated guessing to really precision medicine.
So, you know, without ultrasound, you know, we're re- we're relying on anatomical landmarks, and having been a trainer for many, many years in the aesthetic space, you know, a- anatomy is just, is just a template.
And so although everyone has, you know, the same anatomy, sometimes the placement of that anatomy varies.
And so I think this is why ultrasound is necessary because without it, we're relying on anatomical landmarks, and we're, we're relying on what we're feeling with our hands and what we're seeing with our eyes, but we're assuming depth, and we're assuming placement when we're not using ultrasound.
So with ultrasound, we can confirm, you know, exact depth, um, be extremely precise with placement, um, and we can see that product placement or removal in real time.
And it can allow us to avoid those critical structures which we, quite frankly, don't want to run into when we're using, um, injectables, uh, biologics, anything like that for sure.
Well, no, and I, and I'm, and I'm sure, like, you know, we can elaborate on this more too as I'm sure you see this all the time, but, like, so the, the, the second you actually see it in real time, you realize how much guesswork there still, you know, is without it, correct?
No, absolutely.
I mean, let's be honest.
Patients are paying for precision and not probability.
And so what that means is, is, you know, I... without being precise, I might need six syringes.
But if I'm very precise with my procedure, I might need three syringes, right? So what that does for the patient, it is allows them to get really good results without overcorrection and mi- you know, guessing where we're placing the product.
And, you know, what that does for patients over time is it keeps them looking refreshed and normal.
But what really the bigger message here is precision is, is so key in making these procedures safe.
So, you know, let's start out simple.
Um, ultrasound in aesthetics allows us to see, um, underneath the skin in real time things that we cannot see with the naked eye.
And so it helps us visualize blood vessels, filler placement, um, tissue planes, and honestly identify complications, whether they're, you know, certain things like occlusions, nodules, migration.
I mean, the list goes really on and on, Wyatt.
Yeah, 'cause it's, like, literally, you know, turning the, you know, turning the lights on because without it, we're, you know, we're, we're...
in still many ways, you're, you're, you're, y'all are, you're working blind pretty much.
[laughs]
No, absolutely.
And, and this is where ultrasound changes everything.
Injecting from, you know, goes from educated guessing to really precision medicine.
So, you know, without ultrasound, you know, we're re- we're relying on anatomical landmarks, and having been a trainer for many, many years in the aesthetic space, you know, a- anatomy is just, is just a template.
And so although everyone has, you know, the same anatomy, sometimes the placement of that anatomy varies.
And so I think this is why ultrasound is necessary because without it, we're relying on anatomical landmarks, and we're, we're relying on what we're feeling with our hands and what we're seeing with our eyes, but we're assuming depth, and we're assuming placement when we're not using ultrasound.
So with ultrasound, we can confirm, you know, exact depth, um, be extremely precise with placement, um, and we can see that product placement or removal in real time.
And it can allow us to avoid those critical structures which we, quite frankly, don't want to run into when we're using, um, injectables, uh, biologics, anything like that for sure.
Well, no, and I, and I'm, and I'm sure, like, you know, we can elaborate on this more too as I'm sure you see this all the time, but, like, so the, the, the second you actually see it in real time, you realize how much guesswork there still, you know, is without it, correct?
No, absolutely.
I mean, let's be honest.
Patients are paying for precision and not probability.
And so what that means is, is, you know, I... without being precise, I might need six syringes.
But if I'm very precise with my procedure, I might need three syringes, right? So what that does for the patient, it is allows them to get really good results without overcorrection and mi- you know, guessing where we're placing the product.
And, you know, what that does for patients over time is it keeps them looking refreshed and normal.
But what really the bigger message here is precision is, is so key in making these procedures safe.
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