DAXXIFY vs Botox Explained, Dr. Doris Day on Fatigue
Hey beauties,
I want to share an episode of Facially Conscious with the incredible Dr. Doris Day. As an esthetician who has spent decades working alongside dermatologists and watching the evolution of injectable treatments, I realized there’s so much confusion out there about what’s actually happening when we talk about neuromodulators, fillers, and the concept everyone’s suddenly worried about: filler fatigue.
So grab your favorite tea, get comfortable, and let me break down what Dr. Day taught us—and why it matters for your skin.
What This Episode Meant to Me (And Why You Should Care)
When I first got into skincare as a career, the industry was so different. We had Botox, and that was pretty much it. Now, we have DAXXIFY, Dysport, Jeuveau, Xeomin, and a whole universe of filler options. The landscape has changed, which is amazing, but it also means there’s room for confusion.
Dr. Doris Day, a board-certified dermatologist and clinical professor at NYU Langone, brought such clarity to this conversation. What struck me most was her philosophy: beauty should be about enhancement, not transformation. And as someone who has built my career on helping people feel confident in their skin—first through facials at The Facial Bungalow and now through skincare education—I couldn’t agree more.
The real deal? Injectable treatments are just one part of a much bigger anti-aging skincare picture.
DAXXIFY
DAXXIFY is the fifth FDA-approved neuromodulator, and yes, it’s creating buzz for a reason. It can last longer than traditional Botox—sometimes significantly longer. But here’s what I want you to understand: longer isn’t automatically better.
Dr. Day explained this beautifully. DAXXIFY is like a different language from Botox. They have different chemical compositions, durations, and responses across different faces. This is crucial information for anyone considering injectable treatments.
If you’re thinking about trying DAXXIFY, ask your dermatologist or injector if they have experience with it. Ask them why they think it’s right for you. And be honest with yourself: do you want longer-lasting results, or are you happy with the flexibility of changing your look every few months?
Why One-Size-Fits-All Doesn’t Work
This is where I got really excited listening to Dr. Day. She emphasized that every face is different. Every person’s goals are different. And every product has its own properties and behaviors.
I see this so clearly in my work as an esthetic consultant here in Los Angeles. When I’m helping professionals build an esthetic department in a derm office or consulting on private-label skincare products, the conversation always comes back to individualization. What works for one patient might not work for another—and that’s not a failure. That’s smart medicine.
As a skincare educator, I always tell my team: your job is to listen first, recommend second. The same applies to injectables. Find a practitioner who takes time to understand your skin, your goals, and your lifestyle before recommending any treatment.
Filler Fatigue: The Esthetician’s Perspective
Now, let’s talk about the elephant in the room: filler fatigue.
Here’s what filler fatigue actually is: it’s the result of too much filler being applied on a fixed schedule rather than as needed. Imagine inflating a balloon over and over. Eventually, it stops bouncing back. The same thing happens with our faces.
What does it look like? Duck lips. Overfilled cheeks. Droopy brows. Those little squinty eyes. A face that looks more like a caricature than a person. And here’s the hard truth: it’s not the filler’s fault. It’s how often you are doing it.
The industry has conditioned people to return every six months or every year, whether they need to or not. But Dr. Day’s philosophy—and mine—is different. Come back when YOU need it, not when the calendar says so.
This is actually why I’m so passionate about facials at The Facial Bungalow and the skincare routines I’ve formulated with Trina Renea Skincare. A solid skincare routine with the right products—like using our 24/7 Defense, Moisture Boost, Flawless Youth Serum, and our Night Night Cream for deep recovery—can actually delay the need for more aggressive treatments. And that’s beautiful.
The RHA Revolution
Dr. Day also discussed RHA fillers, which are genuinely changing how we approach fine lines. These hyaluronic acid fillers are designed to integrate with your skin and move naturally. They support rather than plump.
This matters because it means we’re finally moving away from the “more is more” mentality. We’re getting smarter. And as someone who has spent years helping estheticians and medical offices develop their service menus, I can tell you: this is the direction the industry is heading.
Multidimensional Anti-Aging: Why Your Facial Matters
Here’s the biggest takeaway: anti-aging isn’t just about injectables.
Dr. Day discussed a multidimensional approach: quality skincare, collagen restoration via devices and treatments, hormone health, and strategically chosen injectables. Not injectables first. Injectables as part of a bigger picture.
This is why I’m so committed to helping people understand how to build a complete anti-aging skincare routine. The best anti-aging skincare routine I recommend includes:
Proper cleansing (hello, Silk & Soothe)
exfoliation
Deep hydration and recovery with serums
Rigorous sun protection (our Natural Physical Sunscreen Primer)
Regular professional facials that support your skin’s health between treatments
Regular facials prepare your skin for injectables, support recovery after them, and honestly? They might delay the need for them altogether.
A Word to Professionals
If you’re an esthetician, dermatologist, or spa owner reading this, Dr. Day’s episode reinforced something I’m deeply passionate about: your team matters. How to build an esthetic department in a derm office that actually works is about having skilled estheticians who understand skin, not just people who know how to inject.
That’s why I created Esthetic Concierge. Whether you’re looking to launch a private-label skincare line, develop comprehensive service menus, or train your team to work seamlessly alongside injectables, the right support makes all the difference.
Visit Esthetic Concierge to learn more about building practices that thrive.
The Bottom Line
Listen to the full episode on Facially Conscious. Dr. Day’s wisdom deserves a full listen. And if you’re considering any injectable treatments, go in informed. Ask questions. Find a conservative, experienced practitioner. And invest in skincare that actually supports your skin’s health.
Your future self will thank you.
With warmth and skincare wisdom,
Trina
Ready to explore the best anti-aging skincare routine from an esthetician’s perspective? Shop Trina Renea Skincare here: Trina Renea Skincare
Interested in facials that prepare your skin for or support recovery from injectables? Visit The Facial Bungalow: The Facial Bungalow
If you’re a professional looking to build your esthetic services, connect with me through Esthetic Concierge.
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