Lipstick & Lipo: Your Unfiltered Guide to Plastic Surgery

This week on Lipstick and Lipo we have exciting news Dr. Smita is back, and she's a new mom! With a seven-week-old at home, Smita is sharing what it was like to be on the other side of surgery for the very first time. As surgeons, we talk our patients through recovery every single day, but experiencing it firsthand is a whole different story. We're comparing C-section recovery to tummy tuck recovery, talking about why having a support system matters so much in that first month, and getting into what it was really like for Smita to return to the OR just five weeks after giving birth. What You'll Learn: How C-section recovery compares to a tummy tuck and why they're not the same surgery. Why tummy tuck patients get more recovery support than new moms (and how that changes healing). Why the recovery advice we give patients turned out to be accurate firsthand. How to know when you're ready to return to activity after surgery and why easing in matters. What options exist if you don't have a support network at home. What going back to the OR five weeks post-C-section was actually like. Don't forget to subscribe we've got lots more plastic surgery content headed your way. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

This week on Lipstick and Lipo we're answering one of your questions about lipo recovery. As our name states, we use lipo consistently in our practices. Now, there are differing opinions about healing, and like many things, it's super personal. Every person has a different pain tolerance, and that's something that's really hard to compare. Even though the incisions are small, lipo is still something major don't assume you'll be back at work the next day. We're going through what recovery actually looks like, what affects it, and how we set our patients up to heal well. Highlights: The misconception small incisions create: this isn't a "lunchtime" procedure. Why bruising and swelling are completely normal no matter who your surgeon is. Pain tolerance is personal why some patients bounce back fast and others need more time. The supplements that can make your bruising worse. How anxiety plays into what you feel during recovery. Why good skin quality matters for your final result. This episode came straight from your comments keep the questions coming! Send us a DM on Instagram on what you want us to cover and make sure you subscribe so you don't miss a brand new episode of Lipstick and Lipo every week. Dr. Smita Ramanadham Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

Some celebrities like Kate Winslet and Sarah Jessica Parker are publicly rejecting plastic surgery and swearing off Botox and fillers. Some are still getting it done. What's really happening in Hollywood, and does it matter for you? Board certified plastic surgeons discuss the growing divide among celebrities, why some are rejecting procedures, and why neither choice should be judged. Your decision about plastic surgery is personal and it shouldn't be influenced by what anyone else is doing. What you'll learn: The misconception about what plastic surgery actually does. How Hollywood pressure to chase youth affects treatment trends. Why you don't have to pick a camp and stick with it forever. The importance of making your own decision, not following celebrities. How to approach plastic surgery safely without judgment. Why both choices - doing something or doing nothing are equally valid. This is your decision and nobody else's business. Talk to your doctors, figure out what's right for you, and remember you can change your mind anytime. Make sure you're subscribed so you get real information and current trends. Dr. Smita Ramanadham Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

We recently received a comment from a viewer who had breast implants placed without being given a choice or explanation about placement options. This sparked an important conversation about patient communication. We discuss why placement matters, the differences between over and under the muscle, how the industry has evolved, and why your surgeon needs to explain your options before surgery. You need to understand the why behind every decision before you go into surgery. What you'll learn: The difference between implants over the muscle and under the muscle. How implant technology has changed surgeon approaches. Why some surgeons only do one technique versus offering options. How new implant companies are changing the industry. When it's appropriate to switch placement (and when it's not). Why communication with your surgeon matters before surgery. Questions you should be asking before implant surgery. Surgery is a big deal and you have every right to know what's going on. Do your research, ask questions, and make sure your surgeon is explaining your options. If they're not willing to discuss this with you, you have every right to go somewhere else. Dr. Smita Ramanadham Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Vampire facials and salmon DNA facials are trending, with celebrity endorsements and expensive price tags. But are they actually worth the money, and do board certified plastic surgeons recommend them? We're discussing what these treatments actually do, what the science shows, and whether you're better off sticking to the basics like retinol, sunscreen, and proven treatments like microneedling and lasers. What you'll learn: What vampire facials and salmon DNA facials actually are. Why these treatments are so expensive and if they're worth the money. The verdict from board certified surgeons. What actually works. Where to go if you do want to try them. Make sure you're subscribed so you don't waste money on treatments that aren't worth it.  Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

A lot of patients come in wanting a breast lift thinking they'll get a rounded, full breast. But a breast lift and a breast augmentation are two very different procedures, and understanding the difference is crucial before you book surgery. We're discussing what a breast lift actually does, why a natural breast is a teardrop shape  and when you might need an implant to achieve the fullness you're looking for. Understanding your real goals and what's actually possible helps you make the right decision for your body. What you'll learn: The difference between a breast lift and a breast augmentation. Why natural breasts are teardrop-shaped, not round and full at the top. What a breast lift actually accomplishes. Why you can't achieve upper pole fullness without an implant. How to communicate your goals. How modern implant technology has evolved and improved. Make sure to follow us so you're always getting the truth about what's actually possible with plastic surgery. Dr. Smita Ramanadham Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

Ballerina breast augmentation" is the #1 most searched breast topic on Google right now. But what does it actually mean, and does it deliver the results patients are expecting? We're discussing this viral trend and explaining what patients are really asking for when they mention ballerina breasts. It's smaller, natural-looking augmentations that enhance without being obvious. We also talk about why this aesthetic aligns with where breast augmentation has been heading for years and why natural results should always be the goal. What you'll learn: What ballerina breast augmentation actually means. The difference between trend terminology and medical goals. How modern implant options make imperceptible augmentation possible.  Why bringing reference photos is more helpful than using viral terminology. Make sure to subscribe so you stay updated on the newest trends and what plastic surgeons actually think about them. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

You've probably seen scary stories online about tummy tuck recovery people needing walkers, recliners, commodes. While some of these stories exist, they're usually the result of people going into surgery unprepared or with underlying health issues that weren't optimized. As board certified plastic surgeons, we're here to tell you that with proper preparation, tummy tuck recovery doesn't have to be complicated. In this episode, we break down what you actually need to prepare, what realistic recovery looks like, and how to set yourself up for success. From pre-surgery optimization to what you actually need to buy, we're giving you the honest truth. What you'll learn: How to optimize your health before surgery for the best outcome. Why stopping smoking, marijuana, and GLP-1s matters for healing. The ultra marathon analogy why recovery requires real preparation. What recovery equipment you actually need (spoiler: not much). Why early movement is crucial and walkers are unnecessary. The minimal shopping list: protein shakes, hydration, stool softeners, pillows. Why narcotics should be minimal and short-term. How nerve blocks can reduce your need for pain medication. We so appreciate you being with us every week. If you haven't already subscribed, we would appreciate it if you do. This helps more people find us and get true medical information. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Recently, a skincare expert claimed that SPF and retinol are harmful and should be avoided. As board certified plastic surgeons, we're respectfully disagreeing and breaking down the science behind why these two ingredients are non-negotiable for skin health. We discuss why sunscreen is your best defense against skin cancer and premature aging, how to wear it correctly, and why retinol is the only clinically proven ingredient that actually prevents and corrects wrinkles. Understanding the real science helps you make informed decisions about your skincare routine. What you'll learn: Why SPF is non-negotiable for skin cancer prevention. How much sunscreen you actually need to apply (and how often to reapply). Why UVA and UVB rays damage skin even on cloudy days. What retinol actually does (and doesn't do) to your skin. How retinol builds collagen instead of thinning skin. The difference between mineral and chemical sunscreens. Why prevention is better than chasing damage with procedures. How to use retinol safely without irritation. We so appreciate you being with us every week. If you haven't already subscribed, we would appreciate it if you do. This helps more people find us and get true medical information. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Your neck is one of the first places to show aging, and most people start noticing changes in their 30s and 40s. From tech neck to vertical neck bands to loose skin, we're discussing why your neck ages faster than other parts of your body and what you can actually do about it. We cover the anatomy of why necks age first, what causes those vertical bands and horizontal lines, and the full spectrum of treatment options from preventive skincare to Botox to surgical neck lifts. Whether you're just starting to notice changes or you're ready to explore treatment options, this episode helps you understand what's happening and what works at different stages of aging. What you'll learn: Why your neck ages before your face (thinnest skin on your body). What tech neck is and how phone use accelerates aging. What causes vertical neck bands (those muscle lines people see). Non-surgical options that work: Botox, fillers, radiofrequency, ultrasound therapy. When you've reached the point where only surgery will work. If you haven't already subscribed, we would appreciate it if you do. This helps more people find us and get true medical information.   Dr. Smita Ramanadham Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Denise Richards has been very open about her recent facelift. This week we are posing the question: are facelifts the new Botox? The fear about getting surgery has been slowly diminishing with the openness of Hollywood. And the honest truth is this is the best way to go if you want to see measurable results as you age. Fillers and Botox still have their place, but facelifts are the only way to see the results most people were trying to achieve with filler alone. This episode is for you if you have considered a facelift but have been a bit nervous or were told that someone could give you filler with similar results. What you'll learn: The reason that many injectors never offered surgery. Hint: they only have so much they can do. How the facelift landscape has changed - modern results are natural, not wind-blown. Why facelifts vs. injectables. Why you only want a board certified plastic surgeon doing this procedure. Where is the place for Botox and fillers. We so appreciate you being with us every week. If you haven't already subscribed, we would appreciate it if you do. This helps more people find us and get true medical information. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Bethany Frankel recently made headlines after cutting herself with an at home cupping device she bought online. As board certified plastic surgeons, we're discussing what beauty treatments are actually safe to do at home and which ones you should never attempt without professional supervision. From DIY lasers and chemical peels to home Botox kits sold on Amazon, we're seeing people buy invasive treatments on social media that can cause serious harm.  We also cover what IS safe for home use and how often you actually need professional treatments. Understanding these boundaries helps you maintain your skin health safely without unnecessary risk. What you'll learn: The dangers of suction-based treatments can cause broken capillaries. Red flags when buying beauty devices online. Why unregulated products from Amazon or social media are dangerous. What home treatments ARE actually safe. How often you actually need professional treatments (seasonally is enough). Why individualized assessment matters for your skin. Your skin health matters, and it's not worth risking injury to save money on treatments that should be done by professionals. Make sure you're subscribed so you never miss expert guidance from board certified professionals. Dr. Smita Ramanadham Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

Award season has arrived, and celebrities are getting noticeably smaller. As board certified plastic surgeons and doctors, we're breaking down what's really happening with GLP-1 medications like Ozempic and Wegovy. These medications can be life-changing when used correctly for metabolic health, diabetes management, and treating obesity. But we're seeing a concerning trend of extreme weight loss among people who were already thin, raising questions about misuse and the return of unhealthy body standards. From nutrient deficiency to the slippery slope of disordered eating, we're discussing the difference between healthy and dangerous use of these medications. We also address what happens when people cycle on and off these drugs and the potential long-term consequences. What you'll learn: How GLP-1 medications work and their legitimate medical benefits. The difference between healthy and unhealthy use of weight loss drugs Warning signs of GLP-1 medication misuse. Why rapid weight loss can lead to hair loss, dental problems, and other health issues. The importance of nutrition and protein intake while on these medications. Why weight lifting matters to prevent muscle wasting. The concerning return to promoting extremely thin body types. These medications can be incredibly beneficial when used correctly under medical supervision. If this episode resonated with you, share it with someone who might benefit from understanding the difference between healthy and dangerous use. And make sure you're subscribed so you never miss important health conversations. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

We received questions about breast implants and we're diving into your top concerns for 2026. From changing implant placement to surgeon expertise to costs, we're giving you the information you need. Can you switch from under the muscle to over the muscle? Is it normal for surgeons to only do one type of placement? What does replacing implants actually cost? We're addressing the questions that help you make informed decisions about your breast surgery journey. If you're considering breast implants or planning a revision, this episode gives you the framework for better conversations with your surgeon. What you'll learn: Whether you can change from under muscle to over muscle placement. When changing implant placement makes sense. Why revision surgery conversations are different from primary surgery. Is it a red flag if your surgeon only does things one way. How surgeons should continue learning and evolving techniques. What affects breast implant replacement costs. Why revision surgery costs more than primary surgery. Geographic and surgeon expertise factors in pricing. The importance of second opinions. Thank you for asking these questions. It not only helps other people but allows us to know more about what you're looking to learn. We would love to hear from you. What other topics are you interested in? DM us on Instagram.  Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

Big news - Dr. Smita is now a published author. Her book "The DNA of a Doctor: Upbringing Culture and Unbridled Ambition Curates Achievement" is available now on Amazon and wherever books are sold. This episode is different from our usual content. Dr. Amalfi interviews Dr. Smita about her journey writing this book, what inspired her to share her story, and why she felt it was important to be vulnerable about the challenges of being a female plastic surgeon in a male-dominated field. From imposter syndrome to navigating life as a first-generation American with immigrant parents, Smita opens up about the experiences that shaped her career. Whether you're a woman in a male-dominated field, a first-generation American, or someone navigating your own cultural battles, there's something in this book that will resonate with you. What you'll learn: What inspired Dr. Smita to write "The DNA of a Doctor". The challenges of being a female plastic surgeon in a male-dominated specialty. Navigating life as a first-generation American. How being a mentor shaped her decision to write the book. The vulnerable process of putting your story on paper. Dealing with imposter syndrome while writing. Why surrounding yourself with supportive people matters. The power of shared experiences among women in medicine. Congratulations to Dr. Smita on this incredible achievement. If her story resonates with you, grab your copy of "The DNA of a Doctor" link👇 : Dr. Smita's Book Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Traveling for plastic surgery can be tempting, especially when you see deals that seem too good to pass up. But there are unique risks and considerations you need to understand before booking that flight. From aftercare access to safety standards to what happens if something goes wrong, we're discussing the reality of traveling for cosmetic procedures. Whether you're considering going out of state or out of the country, this episode gives you the questions to ask and the red flags to watch for. Understanding what makes traveling for surgery different helps you make informed decisions about your safety and results. What you'll learn: Why aftercare matters. What questions to ask about follow-up care when traveling. The reality of international safety standards and regulations. Why cheap deals are major red flags. What happens if you have complications far from your surgeon. The true cost of fixing botched surgery from discount providers. Why revisions cost significantly more than primary procedures. What to look for if you're traveling to a surgeon. How to evaluate if traveling is worth the risk for your situation. If this episode was helpful, share it with someone who might be considering traveling for a procedure. And make sure you're subscribed so you never miss the critical information that helps you make an educated decision. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

Over the past few months we have gotten several questions about breast lifts. In this week's episode we will address three of the major questions: Will my results last? If I'm doing a lift will I need an implant? When would I actually need an implant? If you're considering a breast lift or wondering whether you need an implant, this episode gives you the framework to have better conversations with your surgeon. And if you're in Rochester, NY, or the NY/NJ metro area, we would love to assist you directly with a consultation. What you'll learn: What auto augmentation is and how it works. How skin quality affects lift longevity. Why adding weight with an implant can make sagging worse. How aging and gravity continue after surgery. What upper pole fullness means and why it matters. When an implant is necessary for your goals. Why you might go down slightly in size with a lift alone. How to evaluate whether you need an implant or just a lift. Thank you for asking these questions about breast lifts. It not only helps other people but allows us to know more about what you're looking to learn. If this episode was helpful, share it with someone who might benefit from real information about this procedure. And make sure you're subscribed so you never miss the critical information that helps you make an educated decision. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

You asked, we're answering. After our recent labiaplasty episodes, we received questions about recovery, swelling, and what to expect in the healing process. We're addressing the most common concerns patients have after surgery. From asymmetric swelling in the first week to when bleeding should stop, we're giving you real answers about what's normal and what's not. If you're considering labiaplasty or recently had the procedure, this episode answers the questions you might be too nervous to ask. Note: It's always best to consult your doctor. What you'll learn: Why swelling looks asymmetric in the first few weeks When you should and shouldn't look at your results How long it takes for full healing after labiaplasty The difference between labia minora and labia majora procedures Why everyone's anatomy is different in this area Thank you for asking these questions about labiaplasty. It not only helps other people but allows us to know more about what your looking to learn. Make sure you're subscribed so you never miss the critical information that helps you make an educated decision. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram    

Is there an ideal weight for breast augmentation? While this isn't discussed as much for body contouring procedures, it absolutely matters for your results and safety. Most breast augmentation patients naturally tend to be at a stable weight already, but understanding why timing matters can help you get the best possible outcome. We're discussing why chasing a moving target with weight changes can affect your results, how BMI impacts surgical complications, and why getting to a healthy, stable weight before surgery sets you up for success. What you'll learn: How weight changes after breast augmentation affect your results. The "never chase a moving target" principle for plastic surgery. Why higher BMI increases surgical complications. How breast tissue responds to weight fluctuations. The role of GLP-1 medications in pre-surgery weight management. How to prepare your body for the best possible results. If you're considering breast augmentation, this episode helps you understand the timing. Share it with anyone preparing for surgery. And make sure you're subscribed so you never miss the critical information that helps you make an educated decision. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Anesthesia anxiety is one of the most common reasons people hesitate to move forward with plastic surgery. The fear is real, but the reality is very different from what you might imagine. We're addressing the biggest concerns about going under anesthesia and explaining why modern plastic surgery in accredited facilities is remarkably safe. From what actually happens when you're under anesthesia to the credentials you should look for in your surgical team, we're breaking down everything you need to know. The truth is, if you're a healthy candidate going to an accredited surgery center or hospital with credentialed providers, the risks are incredibly low. What you'll learn: Why anesthesia anxiety is so common for elective surgery patients. The actual safety statistics for anesthesia in plastic surgery. What makes a surgery center "accredited" and why it matters. The difference between hospital and surgery center anesthesia. Who should be administering your anesthesia. Red flags to watch for when choosing a surgical facility. How closely you're monitored under anesthesia. Why healthy candidates have extremely low risk. The questions to ask about your anesthesia team. If anesthesia anxiety has been holding you back from a consultation, this episode might give you the information you need. Make sure you're subscribed so you never miss the critical information that helps you make an educated decision. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Not all surgeons are the same, and the difference can impact your safety. The terms "plastic surgeon" and "cosmetic surgeon" sound similar, but they represent vastly different levels of training and expertise. One requires nearly a decade of specialized surgical training and rigorous board certification. The other might be a doctor who took a short course. We're explaining what board certification actually means, why it matters for your safety, and the questions you need to ask before choosing a surgeon. Understanding these credentials could be one of the most important decisions you make. What you'll learn: The key differences between plastic surgeons and cosmetic surgeons. What board certification actually requires and why it's so rigorous. How many years of training plastic surgeons complete. Why "cosmetic surgery" is not a recognized medical specialty. The written and oral exam process for board certification. How plastic surgeons handle complications versus others. Why re-certification is required every 5-10 years. The exact questions to ask your surgeon about credentials. Red flags that indicate someone isn't properly qualified. Why websites can be misleading about credentials. If you're considering any cosmetic procedure, this episode gives you the questions to ask. Make sure you're subscribed so you never miss the critical information that helps you make an educated decision.   Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

At 84, Martha Stewart doesn't look her age and she's not shy about saying that's intentional. She's been open about using some treatments while maintaining privacy about the specifics. Her incredibly active lifestyle and commitment to health are just as much a part of the equation as any procedure. We're discussing what makes her different from the dramatic transformations we usually see in celebrity culture. Her philosophy combines healthy living with strategic treatments, creating results that look natural instead of overdone. This is what it looks like when someone ages beautifully without trying to look 30 years younger. If you've ever wondered what "aging gracefully" actually means, Martha Stewart is showing us how it's done.   What you'll learn: What makes Martha's approach different from other celebrities. The real meaning of aging gracefully versus anti-aging. Why lifestyle and procedures work together. How to age beautifully without dramatic transformations. The right balance between privacy and honesty. Are you inspired by Martha's approach? Small changes over time really do make a difference. If you found this episode helpful, we would love for you to share it with someone who might be struggling with what it looks like to age gracefully. Connect with Dr. Smita Website Instagram   Connect with Dr. Amalfi Website Instagram  

This is probably the most common question we get asked: How often do breast implants need to be replaced? A lot of advice says 10-15 years, but that's not actually true. There's no expiration date on breast implants. We explain why the timeline is different for everyone, what signs to watch for that indicate replacement might be needed, and how to think about imaging for both your implants and your breast tissue. We also discuss the important distinction between replacing implants because they failed versus changing them because your breast itself has changed over time through weight fluctuations, pregnancy, or natural aging. What you'll learn: Why the 10-15 year replacement timeline is a myth. The car tire analogy that explains replacement timing perfectly. How to know if your implant has failed or ruptured. What capsular contracture looks and feels like. FDA imaging recommendations for silicone implants. The difference between imaging for implants versus breast tissue. When ultrasound and MRI are needed for implant evaluation. Have you been putting off your mammogram or breast imaging? This is your reminder to schedule it. Taking care of your breast health matters, whether you have implants or not.   Connect with Dr. Smita Website Instagram   Connect with Dr. Amalfi Website Instagram

Male cosmetic procedures are booming, especially in two specific industries: tech and finance. We're seeing a surge of men in their 50s and 60s feeling pressure to look younger as 20 and 30-year-old workers enter their offices. From Botox and skincare to facelifts and body contouring, men are embracing procedures they once avoided. We discuss why this demographic shift is happening now, how we approach male procedures differently to maintain masculinity, and why many male patients start their journey after watching their wives' positive experiences. Whether it's facial rejuvenation to look powerful in boardrooms or body contouring for a more athletic appearance, the stigma around male plastic surgery is finally fading.   What you'll learn: The key differences in approaching male versus female facial surgery Why maintaining masculinity is critical in male procedures Common male procedures: Botox, facelifts, eyelid surgery, liposuction, gynecomastia How male eyebrow and jaw structure differs from female anatomy Why many men start their plastic surgery journey through their wives Why starting small with skincare leads to better aging over time If you found this episode interesting, share it with someone who might benefit from hearing that plastic surgery isn't just for women anymore. Real expert advice makes all the difference.   Dr. Smita Ramanadham Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

Simone Biles has been incredibly transparent about her breast augmentation, sharing details about her surgery and her board certified female surgeon. We applaud her openness and her choice of a qualified surgeon. However, as board certified plastic surgeons who specialize in breast surgery, we have serious concerns about one specific aspect of her procedure: the placement of her implants under the muscle. For an elite athlete with the strongest pec muscles you can imagine, cutting that muscle and placing implants underneath can possibly create long-term complications. We explain why this placement may cause her implants to migrate laterally over time, what alternatives would have been better suited for her athletic lifestyle, and why customizing surgery to each patient's unique anatomy and goals matters so much. What you'll learn: Why Simone Biles' implant placement is problematic for elite athletes. How pec muscle strength affects implant positioning over time. When under-muscle placement makes sense versus when it doesn't. The newer implant technology and techniques available today. What alternatives exist for athletic patients. Why there's no one-size-fits-all approach to breast augmentation. The importance of matching surgical technique to lifestyle. Are you loving these celebrity analysis episodes? Leave us a review on your podcast app it helps other people find evidence based plastic surgery information. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Viral beauty trends are everywhere on TikTok - from lip flips to buccal fat removal to slugging and face taping. We're discussing why chasing these trends is usually a waste of your time and money. As board certified plastic surgeons, we discuss the good and bad of social media's impact on plastic surgery, how to spot BS advice from unqualified "experts," and why reading recovery horror stories online isn't giving you the full picture. If something seems too cheap, too easy, or too good to be true it is. We explain how to invest your money wisely instead of wasting it on every new fad. What you'll learn: How to spot viral beauty BS on social media. The difference between an expert and someone with an Amazon review. Why recovery horror stories are usually extreme outliers. How to read patient experiences with the right lens. The good and bad impact of social media on plastic surgery. Why trends like lip flips, buccal fat removal, and BBLs go viral. How to invest vs. waste money on skincare and procedures. What questions to ask board certified plastic surgeons. We have amazing episodes coming up make sure you're subscribed so you never miss anything.   Connect with Dr. Smita Website Instagram   Connect with Dr. Amalfi Website Instagram

Andy Cohen looked noticeably different during his New Year's special with Anderson Cooper on CNN, sparking rumors about a facelift. He came out and addressed what he actually had done. He addressed the speculation, and we're looking at his before and after photos. We'll never truly know exactly what he's had done since we're not his doctors, but we discuss what weight loss, professional lighting, and makeup can do tools most people don't have access to. That's part of the challenge: celebrities can look amazing through a combination of resources the general population simply doesn't have. This sparks a bigger conversation about what celebrities owe the public. There's a level of privacy everyone deserves, but when you have a massive platform, where's the line between privacy and setting unrealistic expectations? We also dive into male cosmetic procedures, why male anatomy requires different techniques, and why Botox in men needs to be done perfectly to avoid feminization. What you'll learn: Specific changes visible in Andy Cohen's appearance. The anatomy differences that make male Botox more challenging. What professional makeup, lighting, and contouring can actually achieve. How facial volume changes naturally as we age. Why a straight brow matters for masculine appearance. The privacy versus transparency debate with real examples. Why weight loss shows differently on camera versus in person. We have some amazing episodes coming out over the next few months. Make sure you're subscribed so you never miss anythin Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

Kendall Jenner recently spoke out on a podcast, stating she's never had plastic surgery only baby Botox. We're analyzing her before and after photos to educate our audience. When celebrities with massive platforms lie about their procedures, young women develop false expectations about what's naturally achievable. The transformation goes beyond what "baby Botox" alone can achieve. She has great genetics and looked beautiful before, and she looks gorgeous now but if she was honest about the work, it would actually help people understand these results come from a combination of genetics and procedures, not just one or the other. What you'll learn: What "baby Botox" is versus regular maintenance. How to spot the difference between minimal work and regular procedures. The visible changes we see in before and after comparisons. Why transparency matters from celebrities with large platforms. Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode. Dr. Smita Ramanadham Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

About a year ago, the FDA approved the Motiva implant and after using them in our practices, we're seeing why patients love them. These implants have been proven in Europe and South America for over a decade, and the technology is a real step forward. The gel and shell improvements mean they move and feel more like natural breast tissue than any previous generation. We discuss what's actually different and why this matters. What You'll Learn: Why the Motiva implants are a game-changer for natural results. How the FDA approval process works (and why the US gets technology last). The difference between textured and smooth implants. Why these new implants move and feel more like real breast tissue. Who makes a good candidate for this technology. Are you thinking about breast augmentation or upgrading to these newer implants? We practice in New Jersey and Rochester, NY, and we'd love to see you if you're in the area. You can come try them on and feel them in our office. Not local? Find a board-certified plastic surgeon near you and ask about 6th generation implants. Connect with Dr. Smita Website Instagram   Connect with Dr. Amalfi Website Instagram

Medical spas are popping up on every corner, and while many are reputable and well-run, not all are created equal. In this episode, we're giving you a reality check about what "medical" actually means when it comes to med spas. We discuss why any doctor can be a medical director (even if they have zero aesthetic training), the critical questions you need to ask before getting injected, and the red flags to watch out for. From supervision standards to pricing, we discuss how to find a truly qualified provider who can handle complications if they arise. What You'll Learn: Why "medical" spa doesn't always mean properly supervised. How any doctor (cardiologist, pediatrician, gastroenterologist) can be a medical director. The critical questions to ask: Who supervises you? Where are they? Can they handle complications? Why having protocols and immediate access to a qualified physician matters. Red flags: gimmicky marketing, shopping-like atmosphere, confusing answers. How to identify if a med spa is truly medical or just using the name. Dr. Smita Ramanadham Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

We're living in the undetectable era where plastic surgery changes are subtle and hard to notice and that's exactly how it should be! After years of preaching natural results, the world is finally on board with our aesthetic. We discuss why good plastic surgery should look like you were born that way, how overdone procedures age poorly, and why less is always more. From BBLs to breast augmentations to facelifts, we explain how staying natural minimizes long-term complications and why plastic surgery is a marathon, not a sprint. What You'll Learn: Why overdone results age terribly and create long-term problems. How oversized implants and dramatic BBLs interfere with active lifestyles. Why natural results minimize long-term risks and complications. The importance of finding a surgeon whose aesthetic matches yours. How to approach plastic surgery as a marathon, not a sprint. Why establishing a long-term relationship with your plastic surgeon matters. The progression from skincare to injectables to surgery over time. How board certified plastic surgeons can guide you through every stage of aging. Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode. Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

We're diving into one of the most exciting innovations in breast surgery breast preservation! This revolutionary new technique for breast augmentation is changing everything by preserving your natural anatomy while delivering beautiful results with minimal downtime. Instead of cutting through tissue, this method uses a specialized device to gently stretch a pocket for the implant. We explain how it works, who it's for, why recovery is so much faster, and why you might not even need general anesthesia. If you've been considering breast augmentation but hesitant about the invasiveness or recovery time, this episode is for you. What You'll Learn: -What breast preservation surgery is and how it differs from traditional breast augmentation. -How the technique preserves natural ligaments, nerves, and breast tissue -Why this is ideal for smaller breast augmentations. -Recovery timeline: back to work the next day, gym within a week or two. -How this can be done under local anesthesia or light sedation instead of general anesthesia. -Why busy moms and working women are excited about this option. -Who is a good candidate for breast preservation. -Why 2026 will be a big year for this technique in the US. -How to find a surgeon who offers this procedure. Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode. We have more exciting things coming your way in 2026!   Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Devil Wears Prada fans are buzzing about Emily Blunt's recent red carpet appearances while filming the sequel. She looks different, and it's the perfect opportunity to discuss facial aging and proper filler placement. As huge fans of both Emily and the original movie, we're using her transformation to teach you about facial contours and how we age from the triangle-to-square pattern to why treating the lower face makes everything worse. Understanding facial anatomy is essential for natural results, regardless of your resources. What You'll Learn: Why understanding facial contours is critical for natural results. How to identify when filler has distorted normal facial anatomy. Essential credentialing to look for in an injector (board certified plastic surgeon, dermatologist, or facial plastic surgeon). The "look at the staff" rule for choosing an injector. Why repeatedly getting filler resets your perception of "normal". Options for dissolving filler if facial contours have been lost. Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode. Connect with Dr. Ashley Amalfi: Website - https://www.quatela.com/about/our-surgeons/dr-ashley-n-amalfi/ Instagram - https://www.instagram.com/drashleyamalfi/   Connect with Dr. Smita Ramanadham: Website - https://www.drsmita.com/ Instagram - https://www.instagram.com/thedrsmita/  

We're wrapping up our Recovery Q&A series with Part 3! In this episode, we answer three important questions: How does compression actually make fluid go away? What should you do about scar tissue forming along your incision? And is it safe to use conscious sedation with Valium for in-office procedures? We talk through the science behind compression garments, the normal scar healing process, and why a little medication can make your experience so much better. What You'll Learn: -How compression garments prevent excessive swelling and fluid buildup. -The timeline for lymphatic massage after surgery. -Understanding normal scar formation vs. problematic scarring. -The benefits of conscious sedation for in-office procedures. -Why anxiety management matters for your surgical experience. Do you have more recovery questions? Send a message on Instagram ! Don't forget to subscribe which helps more people find our show and also makes sure you don't miss an episode. We have more Q&A episodes coming your way! Connect with Dr. Ashley Amalfi: Website - https://www.quatela.com/about/our-surgeons/dr-ashley-n-amalfi/ Instagram - https://www.instagram.com/drashleyamalfi/   Connect with Dr. Smita Ramanadham: Website - https://www.drsmita.com/ Instagram - https://www.instagram.com/thedrsmita/

We're back with Part 2 of our Recovery Q&A series! In this episode, we tackle two questions we get all the time: Should you split a mommy makeover into separate surgeries (and are your surgeons too tired to do multiple procedures)? What You'll Learn: Why combining procedures in a mommy makeover is actually safer. How surgeons manage energy and focus during longer procedures. Anesthesia time guidelines and safety considerations. What happens to your body if you get pregnant after a tummy tuck. Whether you'll need a revision surgery after pregnancy. Why some patients maintain perfect results even after surprise pregnancies. Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode. Tune in next week for Part 3 where we answer even more of your recovery questions.   Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

We're kicking off a new Q&A series all about recovery! In this episode, we tackle two of your most common questions: how soon can you realistically get back to work after surgery, and is it normal to still feel sore at two weeks post-op? We break down what to expect and why your whole body needs time to heal. What You'll Learn: Realistic work return timelines for breast surgery vs. tummy tuck. Why soreness at 2 weeks (and beyond) is totally normal. How your whole body heals from surgery, not just the surgical site. What factors affect your personal recovery timeline. Don't forget to subscribe which helps more people find the channel and also makes sure you don't miss an episode.   Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

We're living in the era of transparency in plastic surgery, and we're here for it! Shark Tank's Barbara Corcoran just revealed she's had three facelifts and earlobe filler, and she looks amazing. We discuss why celebrities in the spotlight maintain their results differently than most of us would, and what it really means to age gracefully with a little help. What You'll Learn: Why plastic surgery doesn't stop the clock and what maintenance really means. The difference between optimizing your look vs. transforming it. When the best time is to start facial rejuvenation. What earlobe filler is and why it's the secret weapon you didn't know about. How being in the spotlight changes the approach to maintaining results. Subscribe to Lipstick and Lipo on Apple Podcasts or Spotify for weekly episodes. Also if you prefer watching we are also on Youtube. We we would love you to leave us a review as that helps more people find the show! Connect with Dr. Smita Website Instagram   Connect with Dr. Amalfi Website Instagram

The holidays are right around the corner and we're discussing the perfect timeline for procedures so you look and feel your best for all those holiday parties. From major surgery to quick glow-up facials, we're covering what you can do at every stage leading up to your events. What You'll Learn: The ideal timeline for facial surgery before the holidays. When to schedule Botox based on whether you're a regular patient or first-timer. Why fillers need 2-4 weeks before events to allow for swelling The two-week rule before important events. Why bruising can happen even to experienced patients. Last-minute options like light chemical peels and hydrafacials for that holiday glow. Why the week after Christmas is actually the busiest time for surgery. Are you doing anything to refresh before the holidays? Tell us what you're planning in the comments! Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube.   Connect with Dr. Smita Website Instagram   Connect with Dr. Amalfi Website Instagram

We're wrapping up your breast surgery questions! This time we're tackling small reductions with lifts and when you can get back to intense workouts like assisted pull-ups. Your specific fitness questions answered. What You'll Learn: How you can go down one cup size sometimes with just a lift (no tissue removal). The gradient between lifts and reductions - it's a spectrum. When you can do assisted pull-ups after breast surgery. The 6-week mark and how to gradually ramp back up to your workout routine. Why you should never push through pain after surgery. Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode. More Q&A episodes coming keep asking questions in the comments!   Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

We're back answering your real breast surgery questions! This time we're tackling mesh use, internal bras with lifts, and mastectomy reconstruction - all the super specific technical questions you've been asking about. What You'll Learn: Whether using mesh on only one breast causes long-term asymmetry issues If you can get an internal bra at the same time as a breast lift. Why we prefer symmetrical procedures even when only one side needs correction. Our latest approach to mastectomy reconstruction (over vs under the muscle). How technology has evolved to allow less invasive techniques with better results. Why auto augmentation with internal bra works well for smaller lifts. Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode. Part 3 coming next week keep those questions DM us on Instagram! Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

We have compiled all your questions, starting with the first segment about breast implants. From dual plane confusion to teardrop implant disappoint, we're talking about the technical details you actually want to know and explaining why implant technology has evolved so much that old ways of doing things might not apply anymore. What You'll Learn: What dual plane implants actually are. Will going up 5 cc's make any visible difference in your results? The truth about teardrop implants. Why putting implants in after a breast reduction is unpredictable. Why finding a surgeon who evolves with technology is important. We love receiving your questions. We will continue to do these types of videos so make sure to send us a DM on Instagram with your questions! Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode.   Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

There's a lot of hesitation and judgment around labiaplasty, but we perform these procedures multiple times per week and see incredible transformations. Many women are scared to talk to their doctors about this or get brushed off. We want to end the stigma by sharing the real reasons patients choose this procedure. What You'll Learn: Why patients often get brushed off by other healthcare providers who say "it's all normal". What labiaplasty actually involves (it's simpler than you think). -Why this has one of the highest patient satisfaction rates in plastic surgery. The difference between labia minora and majora concerns. Why patients rarely need long-term follow-up after this procedure. Why this procedure spans all age groups from post-pregnancy to post-menopause. We know this is one of your favorite topics so drop your labiaplasty questions on the Lipstick and Lipo Instagram page we'll keep addressing your concerns! Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode. Drop your labiaplasty questions in the comments we'll keep addressing your concerns! Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

Some patients research everything about breast implants before their consult, while others walk in saying "I don't know if I need a lift or an implant." Dr. Ashley Amalfi and Dr. Smita Ramanadham discuss what you need to know about size, shape, projection, and fill to make the best decision for your body. What You'll Learn: The difference between saline and silicone implants (and why 99% choose silicone). What high profile, moderate profile, and low profile actually mean. Why round implants can still give you a natural teardrop shape. How to talk to your surgeon about what you want without knowing all the technical terms. Why bringing photos helps more than memorizing implant specifications. The new Motiva implants and how they're different. -Why board-certified plastic surgeons take specific measurements you can't do yourself. Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode.   Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

Filler gets a lot of attention and not always for the right reasons. Dr. Ashley Amalfi and Dr. Smita Ramanadham, who actually use filler themselves, debunk the biggest myths, explain why you only notice the bad ones, and reveal what good filler should actually look like (hint: you shouldn't be able to tell). What You'll Learn: Why you're only scared of filler because you notice the bad ones. The truth about filler "migration" (spoiler: it doesn't move). How to avoid duck lips and what causes them. Why fillers don't actually "lift" despite what companies teach. What pillow face really is and how to avoid it. The importance of going to board-certified professionals. How both doctors use filler themselves for natural results. Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode. Drop your filler questions on our Instagram page we'll answer them in a future episode! Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

"Aging gracefully" - you hear it every day, but what does it actually mean? We explain why doing nothing isn't graceful aging, and share the timeline of what you should be doing in your 20s, 30s, 40s, and beyond to look your best at every age. What You'll Learn: Why "aging gracefully" doesn't mean avoiding all procedures or treatments. The decade-by-decade breakdown of what to focus on (20s through 50s+). When to start retinol, Botox, fillers, and surgical procedures. Why medical-grade skincare isn't a scam and the science behind it. How to address aging without looking overdone or unnatural. The dental hygiene analogy for skincare maintenance that changes everything. Send us a message on Instagram and let us know what's been your aging game-changer so far? Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram    

Board-certified plastic surgeon Dr. Smita Ramanadham shares the inside story of how she became the only plastic surgeons on IT Cosmetics' medical advisory board. Discover why L'Oreal's acquisition changed everything and how this collaboration is revolutionizing makeup with clinical-grade skincare benefits. What You'll Learn: • How a chance connection led to an exclusive role advising a major cosmetics brand. • Why skincare should be the foundation of any beauty routine, regardless of budget. • The science behind makeup products that actually benefit your skin. • How to build an effective skincare regimen that works (even if you struggled with acne into your 30s). • What makes IT Cosmetics different from other makeup brands on the market. Subscribe to Lipstick and Lipo on Apple Podcasts or Spotify or Youtube and hit the notification bell so you never miss an episode.   Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram  

From Lindsay Lohan's stunning transformation to the rise of "ponytail facelifts," celebrities are getting surgical work done younger than ever. Board-certified plastic surgeons break down the truth behind these trendy procedures and reveal the smart way to age gracefully without looking like a different person. What You'll Learn: Why marketing terms like "ponytail facelift" can be misleading about real surgical risks The only board certification that matters when choosing a plastic surgeon. What "tweakments" are and when to start them (hint: it's earlier than you think). How to build a foundation with Botox, fillers, and skincare in your 20s and 30s. Why consistency with the right doctor beats dramatic one-time procedures. What NOT to put in your face (looking at you, non-dissolvable threads). Don't miss any expert plastic surgery insights! Subscribe to Lipstick and Lipo on Apple Podcasts or Spotify and hit the notification bell so you never miss an episode. Connect with Dr. Smita: Website Instagram Connect with Dr. Amalfi: Website Instagram

Menopause doesn't mean throwing in the towel! Dr. Smita and Dr. Ashley Amalfi reveal why the "menopause makeover" is becoming the new mommy makeover, helping women reclaim confidence when hormones wreak havoc on their bodies. Discover why it's never too late to feel like yourself again. What You'll Learn [00:36] - What is a "menopause makeover" and why celebrities are talking about it. [01:38] - The frustrating reality: Why healthy lifestyles suddenly stop working during menopause. [02:57] - How hormonal changes affect your entire body beyond just hot flashes. [03:21] - Skin changes, wrinkles, and unexpected breakouts during menopause. [04:19] - Head-to-toe body changes: New problem areas and fat accumulation patterns. [05:43] - You're never too old: Why women in their 50s and 60s deserve plastic surgery. [06:57] - The "rite of passage" mentality and life changes driving menopause makeovers. [07:38] - Why today's 50 and 60-year-olds aren't your grandmother's generation. [08:13] - It's never too late: Finding the right time for your transformation. Share Your Story! We want to hear from you comment and tell us at what age you got your plastic surgery! Your story could be empowering for other women who think they're "getting to the game too late." No matter your age, if it bothers you and you want to make a change, that's the right time for you.   Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Kristin Cavallari’s open chat about her implant revision sparks a bigger conversation about what’s really normal when it comes to breast surgery maintenance? Dr. Ashley Amalfi and Dr. Smita discuss everything from silent ruptures and upsizing to why revisions are just part of the journey. Whether you're fresh out of surgery or 15 years in, this episode gives you the facts with zero fear.   Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram

Everything you need to know about compression garments after liposuction why they matter, how long to wear them, and how to choose the right one. What You’ll Learn in This Episode: Why compression is crucial after liposuction and tummy tucks. How long you should wear a compression garment. Tips for choosing the right compression garment. Common misconceptions and advice on garment fit. How compression affects swelling and healing.  Do you love what you’re learning?Subscribe to Lipstick and Lipo and leave a review on Apple Podcasts it helps more people find our show! Connect with Dr. Smita Website Instagram Connect with Dr. Amalfi Website Instagram