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Published by Jen Splane NP
The Pretty is what you want: the jawline back, the glow, the face that matches how you feel. The Gritty is everything nobody puts in the before-and-after: what's actually happening under your skin as you age, what the studies say works, what it costs, and how often it goes sideways. Jen Splane is a nurse practitioner in Rothesay, New Brunswick. She runs a medical aesthetics clinic, prescribes hormone therapy in primary care, trains other injectors, and has read more papers on collagen than anyone should. Every second Monday she tells you what she'd do, what she wouldn't buy, and why, with the study on the table. Occasionally a guest. Always a source. Never a sales pitch; if she wouldn't do it to her own face, she'll tell you. This is education, not medical advice, and the person to ask about your face is still your own clinician. She works with Galderma and Xcite, and says so out loud whenever it matters. Every episode at welle.skin/podcast.
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Everybody has a routine. Almost nobody can tell you why they're using what's in it. This week I'm joined by Avery Cameron, medical aesthetician, to go through what's actually on your shelf: the trends everyone's trying (beef tallow, snail mucin, diaper cream, slugging, castor oil, hypochlorous acid, salmon sperm, topical estrogen), what the evidence says about each, and then the bigger question: what does "medical grade" actually mean, what does it cost, and when is it worth it? The Pretty: what people are buying and what they're hoping it does. The Gritty: what we know, what we don't, and the three boring products with the best evidence behind them. What I would do: questions to ask about any product before you spend $200 on it, and how to sit down with someone like Avery and leave with the right thing instead of the expensive thing. Studies mentioned are listed in the show notes at welle.skin.
A patient asked me why her tox had stopped working. It hadn't. It was working exactly as well as it did the first time she had it, eight years earlier. This episode is about what actually changes, why more units at shorter intervals is the wrong answer, and why true resistance is far rarer than people think. Jen Splane is a nurse practitioner and the medical director of The Welle in Rothesay, New Brunswick. She is a clinical trainer for Galderma and a key opinion leader for Xcite. This is education, not medical advice, and the person to ask about your own face is still your own clinician. Question of the week is on Instagram: @jensplanenp Sources for this episode at thewelle.ca/podcast
Your face: the pretty parts and the gritty parts of aesthetics, aging, and women's health. Nobody asked, but here I am. I'm Jen Splane, a nurse practitioner in Rothesay, New Brunswick. I run a medical aesthetics clinic and I prescribe hormone therapy in primary care, so I sit in two rooms most people never see together: the one where you get sold things for your face, and the one where you're told your skin doesn't count. This is the show I couldn't find, so I made it. The Pretty is what you want. The Gritty is what's really going on under your skin, what the evidence says, what it costs, and how often it goes sideways. First episode, It's Not Your Skincare, Monday 22 September. Follow so it lands. Education, not medical advice.
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Observed November 4, 2026.
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