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Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon™

802: Is Your Med Spa Compliant? The Truth About Off-Label Use & FDA Regulations

Beauty Bytes with Dr. Kay: Secrets of a Plastic Surgeon™

Kay Durairaj, MD, FACS @beautybydrkay

Business, Fashion & Beauty, Health & Fitness, Arts, Management & Marketing, Medicine

4.9608 Ratings

🗓️ 3 February 2026

⏱️ 34 minutes

🧾️ Download transcript

Summary

In this crucial episode of Beauty Bytes, I sit down with Madison Dini, a powerhouse attorney at Michelman & Robinson who operates right at the intersection of science, medicine, and the law. We tackle the "Wild West" of modern aesthetics and the regulatory challenges facing practices today—from exosomes and polynucleotides to the controversial landscape of PDGF (platelet-derived growth factor).

Madison breaks down the critical difference between FDA approval of a product versus the medical board’s regulation of the practice of medicine, helping us understand where the lines are truly drawn . We discuss why taking legal advice from social media is dangerous, how to properly navigate off-label use, and the practical steps you need to take regarding malpractice insurance and informed consent to protect your business .

Transcript

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0:00.0

Well, hello, hello, guys. You're listening to Beauty Bites with Dr. Kay,

0:19.9

Secrets of a Plastic Surgeon, and today I'm interviewing Madison Dini.

0:24.4

She's from Michaelsman and Robinson all the way in Houston.

0:28.2

She is a powerhouse attorney, really like a high-stakes trial lawyer.

0:32.2

And she's trusted general counsel who really is operating at the junction of science, medicine, compliance, and

0:40.3

innovation, all of this. She's helping us in aesthetics and health care and devices kind of

0:45.3

navigate all the legal and regulatory challenges that are coming up, and they're coming fast and

0:50.3

furious. I think technology is changing at a rate that is way faster than regulatory is keeping

0:55.3

up, and we're having to innovate, and maybe we are walking the line of the Wild West. But we're

1:00.6

going to talk to Madison about all the kind of interesting regulatory dilemmas that we're seeing

1:05.8

right now in aesthetics, up to and including PDGF, plate lift drive growth factors, exosomes, polynucleotides, all kinds of stuff.

1:15.5

Welcome to the podcast, Madison.

1:17.8

Thank you, Dr. Kay.

1:18.8

Thank you for having me.

1:19.9

I'm excited to be here.

1:21.2

I'd love to start with your story and what kind of drew you first to the intersection

1:25.1

of law and science and aesthetics medicine?

1:28.2

Sure. So out of law school, and actually during law school, I clerked for a law firm that

1:34.0

specialized in health care litigation, meaning we handled lawsuits and trials on behalf of

1:41.2

health care providers big and small. So the hospital corporations, the physician groups

1:47.7

nationwide practices, and we did everything from slip and falls to what we refer to as baby cases.

1:55.3

So brain damage baby cases, birth injury cases, high value, high stakes cases. So I started my practice there,

...

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