Plastic Surgery Decoded

Artificial intelligence (AI)  is exerting a profound influence on the domain of plastic surgery, shaping experiences for both patients and practitioners alike. It’s now an omnipresent force across a multitude of sectors, so of course, plastic surgery, too!Carefully discerning when AI produces substantial benefits and when it may introduce unforeseen complexities is important. How, then, can we navigate these nuanced distinctions? In this episode of the podcast, facial plastic surgeon Dr. Anil Shah in Chicago/New York offers his informed perspective and firsthand observations on the evolving role of AI within the field of plastic surgery.Tune in!

Craniofacial surgery is a branch of plastic surgery that affects far more people than just those born with facial or skull abnormalities. Have you ever wondered how surgeons restore facial features after an accident or help someone achieve a more youthful appearance? Craniofacial surgery is a highly technical field, but its concepts are relevant to many—whether it's restoring basic facial function or enhancing cosmetic appearance. What role does the underlying bone structure play in these transformations?Meet Dr. Natalie Plana, a craniofacial plastic surgeon known for her expertise, creativity, and dedication to her patients. What inspires someone to specialize in such a challenging and rewarding subspecialty? In this episode, Dr. Plana breaks down the key ideas and explains how craniofacial surgery can be so impactful. Are you ready to learn what makes this field so fascinating?

Rhinoplasty is a common plastic surgery procedure but often misunderstood. What are three important facts about nose surgery, and what should you expect? Dr. Jeff Markey joins us to share his expert perspective on this procedure. Listen to the episode!

Breast reconstruction after cancer can do wonders to improve physical and emotional well-being. New techniques and options, including robotic surgery and biologics, are emerging, as well. What’s possible, and how do we make best choices?In this episode, Dr. Scott Hollenbeck reviews current methods, insurance coverage, nipple-sparing mastectomies, nipple reconstruction, recontouring the chest without recreating a breast, and future trends on the horizon.Listen in for his insights!

In recent years, advancements in implant technology have prioritized patient safety and comfort. Manufacturers have introduced more cohesive silicone gels, improved shell designs, and enhanced surface textures to minimize complications. These innovations aim to provide more natural-looking results and ensure long-term durability while addressing previous concerns associated with older implants.In this episode we hear about the current state of implants, as well as whether there is still concern about Breast Implant Illness or possible malignancy, from Aesthetic Society president, Dr. Tracy Pfeifer. Listen to find out what you need to know!

The 3 most common problems seen by plastic/hand surgeons are carpal tunnel syndrome, trigger finger, and ganglion cysts. But what are the best treatments? And what is WALANT surgery? Listen to the conversation as plastic and hand surgery specialist Dr. Charles Christopher Jehle discusses with Dr. Nouhan the leading treatments and innovative procedures.

Many US residents have traveled to different locations to receive plastic surgery. Motivations for this include lower costs, privacy considerations, or access to surgeons who are not locally available. But, it’s important to carefully review all aspects of pursuing procedures elsewhere and consider potential challenges. These may include whether the selected procedure is appropriate, thorough understanding of the surgeon’s training and experience, the possibility of complications, the need for additional surgeries without local support, and insurance coverage issues.In this episode, we speak with Dr. Daniel Kaufman in Miami, who has experience with medical tourism. He performs specialized procedures for patients who travel for care, and he also assists those who have experienced complications after having surgery in other locations.You’ll want to hear his insights. Tune in!

What is Facial Balancing? A trending term that often refers to nonsurgical treatments like injectables, though it's long been a bigger-scale concept in plastic surgery. Rather than focusing on a single feature, facial balancing considers how each area fits into overall facial harmony—sometimes addressing other areas can create a more balanced appearance. In this episode, we discuss with plastic surgeon Dr. Raja Mohan about what facial balancing involves, the procedures it may include, and what outcomes to expect. Listen in for his insights!

Neck aesthetic treatments are less commonly discussed compared to those for other parts of the body. However, the neck can influence perceptions of age when viewed by an observer. Features such as excess fullness or a loss of angular definition in the neck may result from genetic factors as well as aging, but either way, the appearance of the neck may not truly align with how a person feels.Neck rejuvenation procedures, including the neck lift, address these concerns. This episode’s discussion features Dr. Nouhan’s interview of renowned plastic surgeon Dr. Malcolm Paul, who provides insights based on his extensive experience with neck rejuvenation techniques. Be sure to listen in!

Did you know that skin is the largest organ in the body?  Too often we may take it for granted, but skin cancer can be devastating when it goes unnoticed.Which raises a few questions, like what factors increase the risk of skin cancer? And, which skin cancers are the worst? If a big defect is left after surgery, how can an area like a nose, lip, or eyelid be reconstructed? What about scar?Plastic surgeon Dr. Joseph Spaniol provides answers, and he also has some wise words both for detection of skin cancer and prevention.Let’s listen in, now...

Most of us notice changes in our face over time, and at some point may be mistaken by others as looking tired, less youthful, or even depressed. So it’s NOT a matter of aging gracefully. It’s a matter of not looking like we really feel!The therapeutic options to rejuvenate the face, to reconnect the person on the inside with their appearance on the outside, seem endless these days. Yet different treatments work better for certain areas, and nothing can “do it all.”  What’s the solution? Well, we now know that a comprehensive rejuvenation strategy includes combining treatments as an ideal way to accomplish more. But how to do? And what is safe?In this episode we interview Dr. Chris Surek who has accomplished a remarkable amount in his still growing career, including teaching facial anatomy and surgical techniques to other physicians. He shares his experience about combining procedures and leaves listeners with some great take-home information to utilize, as they consider their own options. Hear what he has to say.

Many are intrigued by the idea of changing their appearance through injections or surgery, yet fear the possibility of “Bad” plastic surgery.  But what does good plastic surgery or bad plastic surgery really mean?  Does it always have to do with the surgeon?  Or are there “patient” factors that play a part, as well? And what are some ways to help avoid an undesired outcome?Well, get ready for some colorful stories, as Dr. Thomas Francel in St. Louis joins us in discussion. He’s written a book related to our subject.Listen in as he presents anecdotes and opinions about revisions from his long career as a plastic surgeon. Some may surprise you!

Skin care is an essential aspect of self-care and has gained significant attention recently. Increasingly, individuals wish to present their best appearance. However, with the abundance of products and advice available, it can be challenging to determine the appropriate steps to achieve and sustain a healthy glow.In this episode, we engage with facial plastic surgeon Dr. Amir Karam, who provides valuable insights. He covers the basics of skin care, discusses whether adjustments in routine are necessary with changing seasons, and explores pertinent topics like the differences in skin care for males and females, as well as advice for sensitive skin or skin of color. He also addresses the frequently asked question regarding the effectiveness of topical or oral collagen in enhancing skin quality.This episode is packed with informative content, making it well worth a listen!

In the 100th episode of Plastic Surgery Decoded, we speak with plastic surgeon and educator Dr. Robert Grant about the state of Plastic Surgery now, and where it’s headed. His career has spanned decades, so he’s seen it all!  And, he’s got some strong opinions to share from his perspective about what’s been successful in this field, and what could improve.He finishes our great conversation with some words of wisdom for anyone planning consultation with a plastic surgeon.

Every day, we subconsciously register traits of beauty and attractiveness in others. But what are those? And how might they differ from culture to culture? These differences in aesthetics reveal a rich tapestry of values and traditions that shape how beauty is perceived across the globe.A fascinating conversation takes place in this episode with guest Dr. Steven Dayan, who has done extensive research on our topic. Not only does he explain the nuances of attractiveness, but he shares some eye-opening thoughts which could be applied to other aspects of our lives, as well. Plus, the importance of possible provider bias (and the reasons for it) are discussed. Dr. Dayan brings a wealth of interesting information, so don’t miss out! Listen in!

What social media myths need to be debunked about nutrition around the time of surgery?  You might be surprised that the best and worst foods may not be what you thought!It’s remarkable how much of an impact proper perioperative nutrition can have on the outcome of a procedure. The truth is, it can have significant influence on how you feel, and on your results.In this episode we hear from registered dietician, Kylie Bensley, and plastic surgeon, Dr. Brian Arslanian. Together they have a wealth of knowledge which they were happy to share. It made for a great conversation, highlighting the rationale for focus on nutrition, and giving tips to maximize perioperative success.Take a listen.

More and more people of All genders are seeking improvement for thinning hair or areas of complete hair loss. Whether from genetic tendencies, hormonal changes, medical conditions, or environmental factors, hair loss can be a major source of concern, and luckily a lot more can be done these days. Yes! The treatment options have become more specific and more successful. In this episode, we learn all about them from a dedicated expert in the field, plastic surgeon Dr. Kaveh Alizadeh. Don’t miss his informed predictions for the exciting future of hair restoration, as he shares his experience and insight. Here we go...!

Let's clear up the confusion about when to use Botox, Filler, or Fat for facial rejuvenation! Dr. Bonnie Baldwin is a plastic surgeon in Texas with extensive experience getting the best results out of each of these. In our discussion, she lays out what each type of injectable is designed for, and how to use it best.  Sometimes a combination can actually produce the nicest results. Listen, and learn.

Rarely do we realize the significant impact (positive or negative) that the overall physical, mental, and emotional health of a patient can have on the success of their procedure. Overlooked factors may also include a person’s habits, their stressors, nutritional status, and even spiritual concerns.Enter Dr. Jerry Chidester. He is one of a growing number of plastic surgeons embracing a holistic approach to the care of their patients, and he’s really onto something! In this episode, after elucidating the “big picture” concept he has adopted for his practice, he goes on to tell a poignant patient story that may leave you with a tear in the eye.Take a listen to what he has to say...

When there is a long-standing mismatch between a person’s gender identity and their gender assigned at birth, it can be a source of great distress, impacting virtually all facets of one’s life. Using his vast knowledge and experience, Chicago plastic surgeon Dr. Loren Schechter enlightens listeners about the spectrum of gender-affirming procedures that are possible, ranging from the smallest changes to much more complex ones. He also explains the importance of thorough pre-operative consultations, and comprehensive post-operative care & support. Plus, he gives us a little primer on the proper terminology we should be using! Whether these concepts affect you or someone you know, or you just wish to be better informed, this episode is a great start.

Exosomes…have you heard of them?  If not, I’m sure you will soon. They are indeed the buzzword in the plastic surgery and skin rejuvenation worlds. They’re touted to be able to help reverse the signs of skin aging, and to enhance recovery from treatments, as well. Sounds wonderful, right? But what’s the story on these? Is it hype? Or is there a true effect here? In this episode, we go to a helpful source… we speak with plastic surgeon Dr. Spencer Anderson, who researched this very topic, and co-published a journal article highlighting the medical community’s current knowledge on the subject. There’s really some exciting potential here, yet there is much to still be discovered. Let’s go to that conversation, right now…

Menopause is not just a reproductive phenomenon! The perimenopausal years set off a cascade of changes that can affect a woman’s appearance from body contour to skin quality.  Many women at this stage are surprised and frustrated to find that the daily routines they have to keep in shape and to manage their skin, no longer work very well.So what can be done? Enter Dr. Ashley Amalfi and Dr. Smita Ramanadham, the plastic surgeon team who publish the Lipstick & Lipo podcast. This engaging duo share their expertise about options for Menopause Makeovers and leave listeners with better information about rejuvenation at a time in life that many can find challenging. Take a listen to the fun conversation we had!

Academic medical centers make up only a small percentage of all medical facilities, but what IS an academic institution?  And how is it different from standard community hospitals and surgery centers? Are there advantages to them?   Drawbacks?And would a resident be involved in your surgery?  What IS a resident, anyway? In this episode your curiosity will be satisfied as plastic surgeon Dr. Richard Korentager explains everything in an easy-to-understand way. You’ll be armed with good information now, when you need to be at a medical facility in the future.Here’s our conversation...

Microsurgery – sounds cool, but what is it?Basically it's surgery at a microscopic level, using a microscope to assist. But how did that come about? When would you use it? Well, we’ve got expert Dr. Meredith Collins with us in this episode to explain what microsurgery is all about, and how it can help with reconstruction of the body in general, as well as in her sub-specialty breast reconstruction. Also! Listen in to hear how microsurgery saved the day for a patient with a frustrating problem. Here we go...

A new era of facelift… What could that mean? Well, time and technology allow us to improve methods for almost anything. And facelifts are no different!Yes we’re in a new era of facelifts… one that highlights more natural results while decreasing downtime and risks.Want to hear more about it? Well it’s great that we have Dr. Artur Diaz-Carandell all the way from Barcelona, Spain to discuss this topic with us today.  He’s done a huge number of facelifts using more modern techniques, so he definitely has wisdom to share.Plus at the end he tells us a poignant story of how this procedure changed someone’s life. Listen in now.

You may know that a woman’s breast appearance can psychosocially impact her greatly. So if chosen, what are the options for breast rejuvenation, especially after pregnancy, aging, weight loss, etc? How involved are they? In episode 88 we speak with Dr. Richard Bene to get answers to these questions. Listen in!

Okay, you’ve lost weight, whether through diet and exercise, or weight-loss surgery, or even new drugs like Ozempic. But after going through that lengthy process, what you may not realize is that stretched-out skin will not necessarily shrink back !Curious about that? Listen to my conversation with Dr. Brian Derby who’s got great explanations of the options for treatment. He imparts important information all throughout this episode, even to the very last  bit.So be in the know by listening to the episode right now…

A breast reduction can be life-changing!Yes, a surprising number of women suffer from heavy breasts, and we’re not just talking about endless back and neck pain. Longstanding suffering can lead to mental strain, as well.But what does a breast reduction really involve? And what happens to sensation? Can you still breast-feed? Plus, will it be covered by insurance? In this episode we have Dr. Dinu Mistry (mistrymd.com) the Northwestern US, sharing her thoughts about breast reductions, which she performs frequently.  Listen in as she explains the essentials in such an understandable way.

In previous episode 84, or Part 1, we discussed how to reduce unwanted fat.  In this episode, Part 2, we discuss the novel uses for some of that excess fat. You might be surprised, because we usually think of FAT as something to get rid of! Well, fat can be like Liquid Gold when it’s moved from one place in the body to another, improving contour and sometimes transforming the overlying skin quality, too. This may be called fat transfer, or fat grafting, or fat injections. But, is it better than filler?We delve into the engaging subject of repurposing fat with Dr. Alexes Hazen in New York. Here she shares her wealth of knowledge and her expertise. Download the episode now to be in the know!

Here we talk about how to trim down areas of problematic fat. What are the current options? Which treatments are most effective? Are there limits to how much can be accomplished? And the biggest question... Will it last?In this episode, Dr. Kristy Hamilton in Houston, Texas has some great information about this subject, and she shares that knowledge with us right here...

Wound Care?  What does it have to do with Plastic Surgery? Some acute, traumatic wounds are so large and devastating that intervention is needed to achieve healing and closure.  Other lingering or chronic wounds may have associated problems that stop the healing potential in its tracks. They need help, too. Today we have Dr. David Zamierowski in conversation, to help explain the plastic surgeon’s role in wound management, both surgical and nonsurgical. He discusses the progression of treatment for wounds throughout the decades, and relates some interesting advancements in the field, as well as some great ideas for the future. Listen to the episode.

Many people don’t like the idea of general anesthesia in an operating room. So, what if their procedure could just be done in the office? Sounds great, but which procedures are best-suited for an in-office location? What type of anesthesia would be used? And is it safe? These questions and more are answered by my guest Dr. Curtis Wong in California, who weighs in with his considerable experience. Take a listen to what he has to say...

Will you still care about your appearance when you are older?  You might be surprised.  70 is the new 50, after all!  And if you’d like to explore procedures in the later decades, at what age is it too late? In this episode we answer those questions and more, in a great conversation with Dr. JoAn Monaco practicing in New York.  She tells us which age groups tend to get which procedures, and she shares her thoughts on the safety and benefits of cosmetic surgery in the older patient, including the surprising effect on social engagement. Enjoy an added bonus, as Dr. Monaco relates an endearing patient story, as well. Find it all by listening in now.

You may have heard a lot about breast implants, but is it a “forever” procedure? Why would they ever need to come out? And, what might it be like for people who have had implants for so long, but now must live without them?Learn about the in’s and out’s of implants from someone who has a large experience with their placement and especially with their removal. Dr. Brad Storm joins us in a great discussion of this topic.  Listen in and finally learn about the when and how of breast explantation. Tune in!

No matter how many sit-ups, abdominal contour after pregnancy is not something that can really be controlled or predicted. And when you add functional problems, related to muscle diastasis, to insecurities about appearance, what’s left is frustration and even embarrassment.  Want to hear the story of 2 sisters who went through these difficulties after pregnancies and were successfully treated? How have their lives changed?Listen as Dr. Ahmed Suliman tells their story and explains why the problems occur, plus what can realistically be done to restore abdominal contour. Here we go!

By now, most of us have heard about the impressive weight loss that can result from Ozempic and similar drugs.  But at what cost to the face?  “Ozempic Face” is the term ascribed to some less-desirable facial changes after significant weight reduction. So, what are those changes, and how can they be improved?  For this episode we have facial plastic surgeon Dr. Keith Ladner who fully explains this entity and its treatment.  Not only is he helpfully informative, but he has a great sense of humor, too! Take a listen to the conversation...

A face transplant?  Not science fiction!  I’m talking about the amazing medical development of being able to transfer all the layers of the face, skin down to bone ...from a deceased donor ...to another human....in-need.Who better to help educate listeners about this than the plastic surgeon who heads the Face Transplant Program at Mayo Clinic, Dr. Samir Mardini. Listen as he shares his knowledge about the captivating history and process of this astonishing procedure.Here we go!

Any procedure can be associated with discomfort.  Though opioids have been quite effective at minimizing pain, you no doubt are aware they can cause some unintended problems, most notably addiction-potential.Such problems have prompted exploration into alternatives, and that exploration has been quite fruitful!In this episode, we speak with a long-practicing plastic surgeon, Dr. Fouad Samaha , who shares his good ideas about effective pain control in plastic surgery, and alternatives to opioids.Take a listen!

Scars!  No one wants them! But they are an inevitable part of the healing process. Most scars settle down over time, but what about those that change color, thicken, or become painful and itchy? They can be unsightly, and a source of insecurity.  What can be done to help?In this episode we welcome Dr. Andrew Vardanian at UCLA to explain some treatment options for problematic scars, and he gives his philosophy on general care of normal scars, as well.  Listen to what he has to say!

Imagine what it’s like not to be able to move part of your face!  (...meaning more than just a crooked smile.)  Our facial expressions are our calling-card to the world, whether you are a famous celebrity, or an everyday person. Join the conversation with Dr. Babak Azizzadeh as he enlightens about amazing ways to help this devastating problem, and as he relates some heartwarming success stories.  Plus, you’ll hear about his favorite media appearance! Listen to the episode.

Drains for surgery?  What does that mean?  What do they look like, and why would you need them?   Must you always have them? And what’s a seroma, anyway?Find answers to these questions and more, during our conversation with Dr. Kalila Steen, as she explains all you need to know in a very understandable way.

The eyelids are one of the first areas of the face to show age, whether male or female. Some people may want to treat their eyelid concerns, whether for cosmetic reasons, or more functional reasons...think droopy eyelids obstructing vision. So, it is nice to know the rejuvenation options. Does it always require surgery? Either way, what’s involved?Today we have Dr. Jon Rast to share his knowledge about this popular subject. Take a listen to what he has to say...

Episode 71 about Flap-based options in Breast Reconstruction is Part 2 of our mini-series. What are flaps, anyway? Previous episode 70 discussed Implant reconstructions, and again you can refer back to Episode 21 for an overview of all of Breast Reconstruction.  But today we have the pioneer of the DIEP flap, Dr. Robert Allen, who is Clinical Professor of Plastic Surgery at LSU, among other positions, and practices in New Orleans, Charleston, and New York City. He shares his extensive experience in using one’s own body tissues to make a new breast after cancer.  Listen to his explanation of current options, and he has a couple of great patient stories too!

What’s the importance of a breast? If you or anyone you know has gone through cancer, you realize Breast Reconstruction restores much more than just a body part. In this first of a 2-part series, we discuss implant-based reconstruction, and the essential information you want to know. We have a great conversation on this podcast episode with the engaging Dr. Brian Thornton, who has devoted a large portion of his successful career to implant-based breast reconstruction. Benefit not only from his experience and knowledge about these transformative procedures, but also about the current standards of care for nipple-sparing mastectomies, pain-management, and aftercare. Here we go!

Hmmm, what is it about our necks that can make us so self-conscious sometimes?  For those who are intrigued, there are some things that can be done to rejuvenate its appearance.  Listening to this episode will introduce you to Dr. Jason Roostaeian, who has a well-thought out approach to treatment decisions. He shares his opinions about what “works”, and what doesn’t. Tune in!

Is it more acceptable now to undergo cosmetic procedures for the simple goals of feeling better about yourself, and looking better to others?  What’s that all about? Plastic surgeon Dr. Michele Shermak shares her thoughts on this topic, and as you’ll hear, she has a very relatable approach to her current and future patients. Take a listen to the episode...

Listen in! The accomplished Dr. R. Barrett Noone weaves the fascinating tale of the progress, the triumphs, and even the missteps of the specialty of Plastic Surgery, in his new book “From Trenches to Transplants: Changing Lives with Plastic Surgery”. And, he highlights all of this with some surprising and heartwarming patient stories along the way. Settle into a comfy spot for this one!

You may have been curious about thigh & body lifts -- but what can they do? What’s great about them, and what are the trade-offs? Who would be a good candidate? We’ve touched on the subject in earlier Episode 15 about Body Contouring, but in this current episode, Dr. Melinda Haws, the future president of The Aesthetic Society, has all the answers we need. She explains things in a comfortable, straightforward way, with a dose of humor thrown in here and there, as well!Check it out...

Nobody talks about the EARS when they discuss cosmetic rejuvenation! We’re about to change that with podcast Episode 65. Dr. Azra Ashraf is our guest this time, discussing the many ways that ears may benefit from treatment. Some might surprise you!Use those ears, and listen in!

Let’s face it, the ubiquitous celebrity and influencer promotion of cosmetic procedures can affect us all. It’s human nature to emulate those we admire or view as attractive.But how much of the results are real, or are safe, or will last the test of time? Because we know, like anything else, trends go in and out of style.For this episode, Dr. Gregory Greco, the current president of the American Society of Plastic Surgeons, joins us to give some interesting perspective to this topic. What’s OK to believe? Take a listen...