In this episode of More Than A Pretty Face, Dr. Azi talks with Dr. Terrence Keaney, a Washington DC dermatologist specializing in injectables, regenerative medicine, and body contouring. They discuss why patients are more cautious with fillers, how long results last, and what causes the "overfilled" look. The conversation covers PRF, fat transfer, filler migration, biostimulators, and emerging treatments like exosomes and PDRN. Dr. Keaney also shares insights on male aesthetics, hair restoration, and his go-to treatments for natural, long-lasting results.

Timeline of what was discussed:

00:00 – Introduction

01:19 – “Filler fear” trend among patients

02:10 – Why overfilling happens

03:01 – How long fillers actually last

04:01 – Variation in filler longevity between patients

05:04 – Evaluating where to place filler

06:15 – Goal of fillers: restoring natural volume

07:13 – “Natural fillers” vs fat transfer

08:05 – Long-term filler safety & migration myths

09:12 – Why filler “migration” occurs

10:33 – Choosing the right filler and injector

12:11 – Emerging injectables (PDRN, exosomes)

15:14 – Safety concerns & lack of data on new injectables

15:50 – Biostimulators (Sculptra, Radiesse)

18:12 – Male aesthetics & growing interest

19:22 – Top male concerns: hairline, eyes, jawline

19:58 – New hair-loss research 

21:22 – Hair restoration methods (medical, PRP, surgical)

22:52 – Robotic hair transplantation

23:05 – Rapid-fire Q&A

25:45 – Where to find Dr. Keeney

26:07 – Host closing remarks & listener outro

 

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Follow Terrence Keaney on Instagram: @drtkeaney

Check out his clinic: https://skindcderm.com/

Terrence Keaney, MD, FAAD, is a board-certified dermatologist, researcher, and educator based in the Washington, D.C. area. He is co-founder of SkinDC, a practice dedicated to personalized dermatology, where he blends medical, surgical, and aesthetic techniques to treat skin, hair, and aging concerns.

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Submit your questions for the podcast to Dr. Azi on Instagram @morethanaprettyfacepodcast, @skinbydrazi, on YouTube, and TikTok @skinbydrazi. Email [email protected].

Shop skincare at https://azimdskincare.com and learn more about the practice at https://www.lajollalaserderm.com/

The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice. © Azadeh Shirazi, MD FAAD.