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

This week on botox COWBOYS, Tyler confesses his seasonal love affair with Texas, Andrew breaks down how Botox keeps your pits dry without breaking your thermoregulation, and both attempt to answer the question no one in medical school ever prepared them for: “Can you use this to stop underboob sweat?” (Spoiler: yes, and also possibly butt folds.)

We dive sweaty headfirst into the gloriously underappreciated world of hyperhidrosis treatment—that magical, not-nearly-talked-about-enough use of neuromodulators that turns your shirt from a soggy embarrassment into breathable confidence. But wait, there’s more! Ever wondered why some clinics act like pharma reps are fairy godmothers with bottomless goody bags? Or how the aesthetics industry simultaneously breeds both empowerment and wild entitlement? Andrew’s got thoughts. Lots of thoughts. And a skincare grift story that will make you want to exfoliate your morals.

Also covered:

• Why freezing your armpits before injecting them is not just a luxury—it’s basic human decency.
• How to decode if your injector is using the good stuff or just the cheap stuff with snazzy brochures.
• And the utterly terrifying concept of Andrew and Tyler showing up at Pete’s house unannounced with a syringe and a dream.

If you’re in aesthetics, thinking about aesthetics, or just trying to stop sweating through your suit jacket like a human waterfall, this episode’s for you.

Links & Notes

• Learn more about Dr. Andrew Dargie’s Botox Course

• (00:00) - Welcome to Botox Cowboys
• (01:21) - Hyperhydrosis
• (10:00) - The Business of Medical Aesthetics

Let’s be honest: if you’ve ever pulled back your own face in the mirror and thought, “Yes, this—this is the look,” you’re not alone. This week, Tyler and Andrew saddle up to dissect thread lifting, a procedure that sounds like it belongs in a sewing kit but actually involves barbed wires in your cheeks. Yes, really. If that sounds horrifying, don’t worry—Andrew explains it with the reassuring calm of a man who has definitely put more threads into people than a conspiracy subreddit.

We also talk Botox pricing structures that might be secretly screwing you over (spoiler: “per area” pricing is the Wild West of aesthetics), why “dose to effect” is the gospel injectors should be preaching, and how filler migration isn’t the ghost story you’ve been led to believe—it’s often just a tale of lazy technique. And then, in the grand finale, Tyler gleefully exposes Andrew’s complete incompetence with drywall, rice, and… temperature?

So whether you’re a curious patient, a seasoned injector, or just someone who wants to hear a professional doctor flail wildly when asked how to cook a steak, this episode has it all.

Links & Notes

• Learn more about Dr. Andrew Dargie’s Botox Course

• (00:00) - Welcome to Botox Cowboys
• (00:53) - Cowboy Wisdom
• (04:30) - Learning the Ropes: Thread Lifting
• (11:20) - No Bull
• (15:33) - Andrew's Adulting Quiz