Aesthetics is rapidly evolving, and 2026 marks a major shift toward regenerative aesthetics, longevity medicine, and personalized beauty treatments.

In this episode of The Cowboy & The Queen, we explore the top aesthetic trends for 2026, including regenerative injectables, photobiomodulation therapy, biostimulatory fillers, AI-driven treatment planning, and the growing integration of wellness and hormone optimization in aesthetic practices.

We discuss why skin quality, collagen stimulation, and cellular health are replacing overfilling and overcorrection, how combination therapy is becoming the gold standard in modern med spas, and why ethical, evidence-based providers are shaping the future of the aesthetics industry.

This episode is a must-listen for aesthetic providers, nurse injectors, med spa owners, plastic surgery practices, and educated patients looking to understand where the industry is headed and how to stay competitive in 2026 and beyond.

In this conversation, Melissa and Wyatt dive deep into the world of peptides—what they are, how they work, and how to navigate the confusing landscape of online information. They break down how to identify reputable pharmacies, which peptides can be safely combined, and the essential lab work and monitoring every patient should have before starting therapy.

Melissa also gets real about the unrealistic body expectations often pushed on social media and shares her own personal journey with peptides—how they’ve helped reduce inflammation, support muscle building, and improve sleep. She reminds listeners that real results require realistic goals, especially for those juggling busy lives.