What does it take to thrive in an industry where science meets self-confidence—and everyone’s chasing the next best thing? Dr. Andrew Dargie sits down with the incomparable Leisa Krauss, better known as The Bitchin’ Beautician, to find out. For thirty years, Leisa has seen the aesthetics world evolve from back-room laser demos to full-scale empires. She’s been a stylist, a trainer, a consultant, and now one of the sharpest truth-tellers in the business. Together, they take a scalpel to the myths and marketing madness that clutter the beauty landscape.

From the explosion of med spas and the myth of “passive income” lasers to the untapped potential of male clients and the power of authenticity, Leisa and Andrew deliver a masterclass in what actually builds success: passion, ethics, and a deep respect for your craft. Leisa breaks down the biggest red flags in consulting (“If they’ve never worked in a clinic, don’t pay them to tell you how to run one”), while Andrew calls out the pseudo-science and podium posturing that have turned too many conferences into circus acts.

It’s smart, irreverent, and refreshingly candid. Leisa shares stories from the “Wild, Wild West” years of aesthetics, why she believes memberships are the future of client loyalty, and how the right mindset can make or break a new injector. It’s a love letter to doing things the right way—and a reminder that in this industry, truth will always outshine hype.

Links & Notes

• Leisa Krauss (The Bitchin’ Beautician)
• Vanity Empire Consulting
• The Scalpel of Truth Podcast
• Learn more about Dr. Andrew Dargie’s Botox Course
• Submit Your Questions!

• (00:00) - Welcome to Botox Cowboys
• (00:38) - Introducing Leisa Krauss
• (05:38) - What is the success recipe for individuals growing their skills and practice?
• (11:18) - What is the untapped market for clinics right now?
• (18:20) - What makes Leisa crazy?

The Botox Cowboys are back after a summer on the golf course (where Andrew allegedly “shot a million”) and they waste no time diving into the weird, wonderful, and occasionally worrying world of aesthetic medicine. This week’s episode barrels from the hidden costs that quietly bleed new clinics dry—yes, even your water bottles are a line item—into the awkward but common reality of patients fainting mid-injection. Andrew explains how to spot the warning signs, while Tyler mainly wonders if you wake up hotter or just embarrassed.

From there, things get dicey: the guys unpack the murky world of product dilution. Sometimes it’s medical strategy, sometimes it’s, well, not—and suddenly you’re paying top dollar for watered-down filler like it’s a dodgy cocktail at a dive bar. Just when you think it can’t get weirder, enter “ScroTox,” a procedure whose name alone tells you almost everything you need to know. Wrinkle-free? Maybe. Necessary? Absolutely not. Entertaining? Oh yes.

The show wraps with something both practical and fascinating: the power of masseter Botox. Whether you’re grinding your teeth into dust or just want a slimmer jawline, Andrew breaks down how this treatment works, why precision is everything, and what it’ll cost you if you clench like a stressed-out beaver. It’s an episode that manages to be educational, ridiculous, and just the right amount of uncomfortable—the Botox Cowboys way.

• (00:00) - Welcome to Botox Cowboys
• (01:40) - Listener Questions!
• (01:58) - Startup Costs?
• (06:45) - What if I pass out?
• (09:28) - Diluted Product?
• (15:14) - Scrotox.
• (21:26) - The Friend Parade
• (22:11) - Other Uses for Botox: Stop the Clench!

Tyler’s back in Kelowna, and he and Dr. Andrew dive straight into one of the stranger uses for botox: body contouring. Turns out, high-dose botox can shrink bulky muscles like calves and shoulders by inducing atrophy. It’s not for everyone—professional athletes, maybe sit this one out—but for those chasing the Barbie-calf look, it’s a legit option.

Next up, the pair dismantle the idea of “ethical botox pricing,” calling out clinics that charge per area instead of per unit. While it sounds simple, this approach often leads to weaker treatments and higher costs, misaligning the injector’s incentives with patient outcomes. Andrew argues for transparency: dose based on muscle strength, not marketing spin.

The episode also touches on why more medical pros are leaving traditional practice for aesthetics. Better schedules, creative freedom, and grateful patients—plus, no more eight-dollar prostate exams—make it a compelling switch. Tyler caps it off with real-world clinic build advice: keep designs simple, don’t overspend on brand names, and always cross-check your designer with your builder.

And finally, there’s Kevin. Their lovable, crinkly, brow-heavy friend becomes the show’s first official makeover subject. Also, Tyler really wants to know where to stop shaving his legs. No, seriously—he’s asking.

Links & Notes

• Learn more about Dr. Andrew Dargie’s Botox Course
• Submit Your Questions!

• (00:00) - Welcome to Botox Cowboys
• (01:09) - botox for Body Contouring
• (05:52) - "Ethical botox Pricing"
• (16:45) - Tables Turn: Tyler answers aesthetics questions
• (24:27) - Kevin's Korner