Beauty and the Beasts

One of the most common consults in breast surgery today isn't augmentation, it's downsizing. Dr. Sam Jejurikar (Dallas Plastic Surgery Institute) and Dr. Sal Pacella (San Diego / La Jolla) sit down for another candid, no-filter conversation, this time on why so many women who got bigger implants in their 20s and 30s come back 10, 20, even 30 years later wanting something smaller and more natural. They cover: Why cup sizes (C, D, double D) mean something different from every implant manufacturer, and why that confuses the consult from day one The anatomy problem: what happens when a patient chooses an implant wider than her own breast base, and why that choice catches up with her later "Internal bra" mesh support: what it actually does, what it doesn't, and where Sam and Sal disagree on how well it holds up over time When downsizing requires a full breast lift versus a smaller scar option, and why patients often want to skip the lift they actually need The ethical question both surgeons wrestle with after two-plus decades in practice: how much responsibility does a surgeon carry for an implant choice made years ago Whether you're considering your first augmentation or thinking about going smaller after years with implants, this episode lays out the physics, the anatomy, and the honest tradeoffs nobody tells you about upfront. Hosted by: Dr. Sam Jejurikar, MD, Dallas Plastic Surgery Institute https://dallasplasticsurgery.pro/ Dr. Sal Pacella, MD, MBA, San Diego, CA https://drpacella.com/ Beauty and the Beasts: two plastic surgeons, no filter.

Every surgery leaves a scar. There is no such thing as scarless surgery. But there is a lot you and your surgeon can do to make a scar as imperceptible as possible. Dr. Sam Jejurikar (Dallas) and Dr. Sal Pacella (San Diego) cut through the marketing and break down what the evidence actually supports for scar care: why every scar looks thick and red at three to four weeks (and why that's normal), how scars keep remodeling for one to two years, and why patience is half the battle. They cover silicone sheets vs. gels and why total wear time matters more than anything, how to do scar massage correctly (firm pressure, not a spa day), the real difference between a keloid and a hypertrophic scar, and when microneedling, retinoids, lasers, or steroid and 5-FU injections make sense. Plus: when a scar revision is the right call, when it's too soon, and the one popular remedy the evidence says to skip. Sorry, vitamin E. Two plastic surgeons. No filter. Dr. Sam Jejurikar: https://www.drjplasticsurgeon.com Dr. Sal Pacella: https://www.drpacella.com This episode is for educational purposes only and is not medical advice. Always consult your own physician about your specific situation.

Dr. Sam Jejurikar and Dr. Sal Pacella cut through a two hundred billion dollar industry to answer a simple question: what actually works? In this episode of Beauty and the Beasts, Dr. Sam Jejurikar explains why "medical grade" skincare is not a category the FDA recognizes, why a fifteen dollar sunscreen applied every day beats a two hundred dollar one applied occasionally, and how a genuinely effective regimen can be built for around a hundred dollars a month. The two surgeons walk through the four pillars they recommend to patients: daily broad spectrum sunscreen at SPF 30 or higher, retinoids stepped down to retinols for maintenance, an antioxidant such as vitamin C, vitamin E, or niacinamide, and a moisturizer. Dr. Pacella makes the case for physical blockers containing zinc oxide and titanium dioxide, and argues that what you put in your body matters as much as what you put on it. They also cover why the peeling and redness from tretinoin is a sign the product is working rather than an allergic reaction, why exosomes are heavily marketed and thinly supported by evidence, and how to think about laser resurfacing for sun damaged skin. Ablative versus non-ablative. Fractionated versus full field. CO2 versus erbium. Plus a blunt rule of thumb: the effectiveness of a laser treatment tends to track with its downtime. The episode closes on the sun protection blind spots almost everyone misses. The eyelid margins. The light reflecting off pavement, right under the brim of that hat. The sunglasses that focus ambient sun back onto the skin. The ears. As Dr. Pacella puts it, it is the only skin you have. Dr. Sam Jejurikar is a board certified plastic surgeon in Dallas, Texas. Dr. Sal Pacella is a board certified plastic surgeon in San Diego, California. Beauty and the Beasts is available on Apple Podcasts, Spotify, YouTube, and everywhere you get your podcasts. New episodes every other Tuesday. #SamJejurikar #DrJejurikar #BeautyAndTheBeasts #Skincare #PlasticSurgery

Lip filler has been responsible for some of the biggest aesthetic failures in cosmetic medicine. That is the bold claim that kicks off this episode, and both hosts agree it is true. Board-certified plastic surgeons Dr. Sam Jejurikar (Dallas) and Dr. Sal Pacella (San Diego) dive into the most visible topic in plastic surgery: the lips. They trace the evolution of lip aesthetics from the thin lips of old Hollywood through the J.Lo gloss era to the overfilled Kylie Jenner years, and explain why the pendulum has finally swung back toward natural results. Along the way they cover the permanent scarring that years of filler can leave behind, the silicone lip implant disaster that should have never happened, who is (and is not) a good candidate for a lip lift or corner lift, why fat grafting to the lips so often disappoints, and Dr. Pacella's preferred technique of using the patient's own SMAS tissue during a deep plane facelift for longer-lasting augmentation. For anyone considering their first syringe of filler, the advice is simple: less is more. And for patients with years of built-up, scarred filler, the hosts walk through the "lip rehab" approach of dissolving old product over multiple sessions before starting fresh. Plus, a cautionary tale about Botox around the mouth that involves one of the hosts, a missing front tooth, and nine months of talking funny. New episodes every other Tuesday.

Dr. Sam Jejurikar and Dr. Sal Pacella dig into Preservé, the new breast augmentation technique built around the Motiva ergonomic implant, and ask the question dividing plastic surgery right now: is it a real breakthrough or just great marketing? Dr. Jejurikar makes the case for why Preservé may be changing breast augmentation in a way the field has not seen before. Rather than cutting the tissue behind the breast, the technique uses fluid infiltration and a balloon dissector to gently separate the natural plane between the breast gland and the muscle, preserving the circumareolar ligament that locks the implant in place. The payoff is a smaller incision, no tissue cutting, and an implant that sits remarkably stable. He shares what he is seeing across more than 100 Motiva cases and why he has become a believer, while staying candid about what the data does and does not yet prove. Dr. Pacella brings the skeptic's eye, drawing on the technique he has watched performed in Costa Rica and pressing on pocket tightness, capsular contracture, and whether the balloon dissector is truly necessary or whether this is simply a small implant through a small incision. Together they land on the points patients need to hear, including the local anesthesia marketing, the micro-texturing and capsular contracture debate, and the key caveat that Preservé is a retroglandular procedure without the long term track record we have for subfascial and subpectoral placement. In this episode: The embryology behind breast preservation surgery How the Preservé balloon dissection actually works Local versus general anesthesia for augmentation Micro-texturing and the capsular contracture data Why the implant may matter as much as the technique Does Preservé just mean using a smaller implant? Whether you are researching your own options or you work in the field, this is the honest, two sided breakdown the Beauty and the Beasts audience comes for.

Perimenopause is finally getting the attention it deserves, and it shapes cosmetic surgery results far more than most people realize. In this episode of Beauty and the Beasts, Dr. Sam Jejurikar of Dallas and Dr. Sal Pacella of San Diego break down how the hormonal shifts of perimenopause and menopause change the face, the breast, and the way patients heal. Two board-certified plastic surgeons explain why estrogen and progesterone start declining in the 40s, how that drives collagen loss, thinning skin, and facial deflation, and why women can lose one to two percent of their collagen every year leading up to menopause. They dig into how low estrogen can undercut fat transfer results, why radiofrequency skin tightening loses its punch after menopause, and the underrated roles of sleep, cortisol, and growth hormone in surgical recovery, including the emotional dip so many patients feel a few days after surgery. They also tackle the practical questions patients actually ask. Should you stop hormone replacement therapy before surgery? How does blood clot risk factor into that decision, and how do the Caprini score and the type of procedure guide their approach? And why do breast changes like lower pole thinning and the waterfall deformity matter so much for augmentation and lifts? The takeaway is honest and clear, including why your plastic surgeon is not the one who should be prescribing your hormones. If you are navigating perimenopause or menopause and thinking about your skin, your breasts, or a future procedure, this is a grounded, judgment-free conversation worth your time. In this episode: Why perimenopause matters to plastic surgeons and not just gynecologists. The collagen and elasticity changes that accelerate after menopause. How hormones affect fat transfer, facelifts, and breast surgery results. Sleep, cortisol, and recovery. The blood clot conversation around hormone therapy and surgery. What to expect emotionally after a procedure. Beauty and the Beasts is hosted by Dr. Sam Jejurikar and Dr. Salvatore Pacella, two board-certified plastic surgeons sharing honest, behind-the-scenes conversations about aesthetic surgery, wellness, and the topics that matter most to their patients. This episode is for educational and informational purposes only and is not medical advice. It does not create a doctor-patient relationship. Always consult a qualified, board-certified physician about your individual situation.

Celebrity plastic surgery is everywhere right now, and the Kris Jenner and Denise Richards facelift stories have quietly touched off a real debate inside the plastic surgery world. In this episode of Beauty and the Beasts, Dr. Sam Jejurikar of Dallas and Dr. Salvatore Pacella of San Diego go past the headlines and talk through what is actually going on. Two board-certified plastic surgeons explain why a third facelift at 70 is a completely different operation than a first facelift in your 50s, why the safest technique is often the smartest choice on a revision, and why almost everyone looks phenomenal at three months postop, a phenomenon one surgeon calls the siren of swelling. They get candid about how GLP-1 weight loss medications can quietly undo facelift and fat transfer results, the realistic healing timeline every patient should expect, how age and skin elasticity change the outcome, those six-figure price tags, and the uncomfortable trend of surgeons piling on one another online. If you have ever wondered what a facelift really looks like as it ages, or how much of what you see on social media is filtered, swollen, or simply too good to be true, this is the honest conversation you have been looking for. In this episode: The two very different stories behind Kris Jenner and Denise Richards. Why filtered photos and early swelling make results look better than they will hold. The real timeline of recovery from three weeks to six months. First facelift versus third facelift and the risk to the facial nerve. Why GLP-1 medications matter more than most patients realize. What you are actually paying for when a facelift costs more than a car. Beauty and the Beasts is hosted by Dr. Sam Jejurikar and Dr. Salvatore Pacella, two board-certified plastic surgeons sharing honest, behind-the-scenes conversations about aesthetic surgery, the industry, and the stories making headlines. This episode is for educational and informational purposes only and is not medical advice. It does not create a doctor-patient relationship. Always consult a qualified, board-certified physician about your individual situation.

One in eight Americans is now on a GLP-1 medication like Ozempic, Wegovy, or Zepbound. The weight loss can be life-changing, but there is a side of this story that rarely gets talked about openly: what these medications are doing to your face, your skin, your muscle mass, your bone density, and your body contour. In this episode, board-certified plastic surgeons Dr. Sam Jejurikar (Dallas, TX) and Dr. Sal Pacella (San Diego, CA) bring a combined four decades of surgical experience to one of the most pressing topics reshaping their practices today. They break down the predictable patterns of facial volume loss they are seeing, including hollowing of the cheeks, temporal wasting, dark circles from mid-face descent, and loss of skin elasticity that goes beyond what you would expect from weight loss alone. They discuss why fat grafting results in GLP-1 patients may not be as durable as expected, and why GLP-1 receptors expressed on fat cells themselves may be to blame. The episode features a lively disagreement on Sculptra: Dr. Pacella is firmly in the skeptic camp, calling it a reverse ATM machine, while Dr. Jejurikar makes the case that conservative, layered treatments delivered every six to eight weeks can serve as an effective volumizing foundation for the right patient. They also explore the promise and limitations of AlloClae cadaveric fat grafting, currently FDA approved for the breast and body but generating serious interest for facial applications. The conversation then shifts to the body, covering the underappreciated impact of GLP-1s on muscle mass and bone density, why resistance training is now a clinical conversation happening in plastic surgery offices, and why brachioplasty and thigh lift volumes have increased fivefold in recent years. They also tackle Ozempic butt directly, explaining the combined role of fat loss, muscle atrophy, and pelvic structural changes, and why excisional lifting procedures are increasingly replacing the Brazilian Butt Lift for this growing patient population. GLP-1 medications are not going anywhere. Newer agents, oral formulations, and triple-mechanism drugs like Retatrutide are already in the pipeline. For patients and surgeons alike, understanding the downstream effects is no longer optional. Dr. Sam Jejurikar is a board-certified plastic surgeon and President of Dallas Plastic Surgery Institute. Dr. Sal Pacella is a board-certified plastic surgeon in private practice in San Diego, California. Together they host Beauty and the Beasts, a podcast dedicated to honest, unfiltered conversations about plastic surgery, aesthetics, and the science behind looking and feeling your best. Follow Dr. Jejurikar on Instagram: @samjejurikar Follow Dr. Pacella on Instagram: @sandiegoplasticsurgeon

In this episode, Dr. Jejurikar and Dr. Pacella tackle one of the most underappreciated operations in cosmetic plastic surgery: the brow lift. Most patients never come in asking for one. They come in saying they look tired, they want something done about their eyes, and the brow is the hidden culprit. The guys break down why the high, pulled look of the 1990s coronal brow lift is outdated, why endoscopic brow lifts tend to disappoint over time, and why the subcutaneous sliding brow lift has become their preferred approach. They also get into the role of fat grafting in brow rejuvenation, the hemostatic net technique, and how Botox fits into the picture long-term. For male patients, the conversation shifts to brow stabilization rather than elevation, including the direct brow lift and the scarless trans-palpebral approach. If you've ever wondered why your upper eyelid surgery didn't give you the result you hoped for, this episode might explain why.

The Plastic Surgery Consultation What Patients Should Expect In this episode of Beauty and the Beasts, plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella focus on one of the most important parts of plastic surgery that often gets overlooked: the consultation. For many patients, the first visit with a plastic surgeon can feel intimidating. Most people arrive having done extensive online research and often come in asking for a specific procedure. Dr. Jejurikar and Dr. Pacella explain why the best consultations are not about requesting an operation, but about clearly explaining concerns, goals, and what truly bothers the patient. The conversation explores how experienced surgeons structure a consultation, beginning with open ended questions and careful listening. The hosts emphasize the importance of rapport and trust, noting that plastic surgery is often a concierge style relationship that requires strong communication before, during, and after surgery. A major focus of the episode is the physical examination and why it remains essential in plastic surgery. Dr. Pacella discusses the value of face to face interaction, hands on examination, and tissue evaluation, and why these elements cannot be replaced by electronic medical records or imaging alone. The episode also covers the questions patients should expect to have answered during a consultation, including safety, recovery, and implant related concerns. The surgeons discuss how they address breast implant associated conditions, including lymphoma and breast implant associated illness, and why transparency about what is known and unknown is critical. Financial considerations are addressed as well, including third party financing and how patients can prepare in advance to understand costs and options. The role of three dimensional imaging is discussed, with insight into how modern tools are best used for communication and assessment rather than exact prediction of results. The episode concludes with a discussion on board certification and recovery planning, explaining why training, qualifications, and a clear understanding of postoperative recovery are essential before moving forward with surgery. This episode is ideal for anyone considering plastic surgery, preparing for a first consultation, or wanting a clearer understanding of how to choose a surgeon and get the most out of the consultation process.

Revision Breast Surgery Why Secondary Breast Operations Are So Common In this episode of Beauty and the Beasts, plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella discuss secondary and revision breast surgery and explain why it is one of the most common procedures in modern breast surgery. Many patients are surprised to learn that breast implants are not lifetime devices. Over time, changes in breast tissue, aging, pregnancy, weight fluctuation, implant wear, and personal preferences often lead patients to require revision surgery. In many practices, secondary breast operations are performed as frequently as primary breast augmentation. The conversation covers the most common reasons patients seek breast revision, including capsular contracture, implant rupture, malposition, bottoming out, asymmetry, and changes in desired implant size. Dr. Jejurikar and Dr. Pacella explain what capsular contracture is, why it occurs, and how it can affect both comfort and appearance. The episode highlights why revision breast surgery is significantly more complex than primary breast augmentation. Unlike first time surgery, revision cases often require pocket reconstruction, correction of the breast fold, reinforcement of tissue support, and frequently a breast lift to restore proper shape and nipple position. Dr. Pacella explains the role of internal support systems, often referred to as internal bras, and why tissue that has supported implants for many years is often unreliable on its own. The surgeons clarify that internal support does not replace the need for a breast lift and discuss how physical exam findings determine the surgical plan. Implant technology and capsular contracture prevention are discussed, including Motiva implants, acellular dermal matrices, and bioresorbable meshes. The surgeons explain what the current medical literature supports and where data is still lacking. The episode also addresses ruptured breast implants, how they are diagnosed using ultrasound or MRI, whether ruptures pose health risks, and why addressing them sooner rather than later can simplify revision surgery. This episode is ideal for patients with breast implants, those considering revision breast surgery, and anyone who wants a realistic understanding of why secondary breast operations are common and how they are approached safely and effectively.

Rhinoplasty - Form, Function, and Natural Results In this episode of Beauty and the Beasts, plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella explore rhinoplasty, one of the most technically demanding and misunderstood procedures in plastic surgery. Rhinoplasty is often thought of as cosmetic nose reshaping, but the surgeons explain why it is just as much about structure and breathing as it is about appearance. The discussion highlights why rhinoplasty requires a unique skill set, why experience matters, and how small changes can have a major impact on both aesthetics and airflow. Dr. Jejurikar and Dr. Pacella compare open and closed rhinoplasty techniques and explain why the choice depends on surgical goals rather than patient requests. They discuss cartilage support, tip shaping, and why the small scar associated with open rhinoplasty is usually insignificant. The episode addresses common patient misconceptions, including the desire to copy celebrity noses. The surgeons explain why nasal skin quality, facial proportions, and individual anatomy make this unrealistic and why the goal should always be for the nose to fit the face while preserving identity and character. Male and female rhinoplasty differences are discussed, with a focus on subtlety in male patients and the risks of over reduction. The surgeons explain how masculine nasal features differ from feminine ones and why preserving these differences is critical. A significant portion of the conversation focuses on functional rhinoplasty and breathing. Dr. Pacella explains how airway evaluation, septal alignment, and internal nasal valve support are essential parts of planning surgery. Dr. Jejurikar discusses how cosmetic maneuvers can unintentionally affect breathing if not carefully managed. Recovery is covered in detail, including what patients can expect in the first few weeks, why swelling resolves gradually, and why final results continue to refine over a full year. Dr. Pacella also shares his personal experience undergoing rhinoplasty for breathing issues and how it shaped his approach to patient care. This episode is ideal for patients considering rhinoplasty, those researching cosmetic or functional nose surgery, and clinicians interested in the intersection of aesthetics and airway preservation.

Eyelid Surgery - Why Small Does Not Mean Simple In this episode of Beauty and the Beasts, plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella take a deep dive into eyelid surgery and explain why one of the smallest operations in plastic surgery can also be one of the most complex. Many patients think of eyelid surgery as a quick or minor procedure. In reality, successful eyelid rejuvenation requires precise judgment, careful technique, and a thorough understanding of how the brow, upper eyelids, lower eyelids, and surrounding structures age together. Dr. Pacella explains why lower eyelid surgery is often the most technically demanding area in facial plastic surgery and why prevention of complications is far more important than aggressive correction. The conversation covers upper eyelid surgery and the importance of conservative skin and fat removal to avoid hollowing, dry eyes, and difficulty closing the eyelids. Dr. Jejurikar discusses how preserving volume and respecting brow position leads to more natural and youthful results. The episode then shifts to lower eyelid surgery, where the surgeons explain why eyelid laxity is frequently underestimated and how improper technique can lead to ectropion, malposition, and shape changes that are difficult to fix. Different surgical approaches are discussed, including transconjunctival fat removal, conservative skin excision, laser resurfacing, and various methods of canthal support. Dr. Pacella also shares insight into complex lower eyelid reconstructions, including rare cases where the eyelid support system must be rebuilt. Common postoperative issues such as chemosis are explained along with strategies for prevention and treatment. Recovery expectations are addressed in detail, highlighting why upper eyelid surgery often has a short recovery while lower eyelid surgery can involve weeks of swelling and temporary vision changes. The surgeons also discuss ice, supplements, and other strategies that may help with healing. This episode is ideal for patients considering blepharoplasty, anyone researching upper or lower eyelid surgery, and clinicians interested in nuanced eyelid decision making and complication management.

Episode 8: The Importance of Fat in Plastic Surgery In this episode of Beauty and the Beasts , plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella discuss how fat has become one of the most valuable tools in modern plastic surgery. Once considered something to remove and discard, fat is now recognized for its regenerative properties, growth factors, and ability to restore youthful volume in both the face and body. Advances in fat harvesting, processing, and injection techniques over the past decade have significantly improved outcomes and consistency, making fat transfer a core component of aesthetic and reconstructive surgery. The conversation explores how fat loss contributes to facial aging and why fat transfer plays a key role in natural facial rejuvenation. The surgeons discuss patient selection, skin quality, and why careful handling of fat is essential for long term success. They explain what patients should realistically expect after fat transfer, including typical retention rates and how fat behaves over time. Dr. Jejurikar and Dr. Pacella also address potential complications such as asymmetry, cyst formation, and fat necrosis, along with strategies used to minimize risk. The episode expands into fat transfer for the breast and body, including historical concerns about breast safety and current evidence that has shaped modern practice. The discussion concludes with a candid look at Brazilian Butt Lifts, including how cultural trends influenced demand, why safety concerns emerged, and how ultrasound guidance and strict technique standards have improved outcomes. This episode is ideal for patients researching fat transfer, facial fat grafting, natural facial rejuvenation, and BBL safety, as well as clinicians interested in the science and evolution of fat grafting in plastic surgery.

Male Plastic Surgery What Works, What Fails, and Why Subtlety Matters In this episode of Beauty and the Beasts , plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella tackle the growing and often misunderstood topic of male plastic surgery . Cosmetic surgery for men has become increasingly common, yet many male patients still worry about stigma, visibility, and looking unnatural. In this conversation, the hosts explain why male aesthetic surgery requires a different mindset, different techniques, and a strong emphasis on preserving masculine features. They discuss the most common procedures men seek today, including liposuction for the abdomen, flanks, and chest, treatment of gynecomastia, upper eyelid blepharoplasty, neck lifts, facial surgery, and hair restoration. The episode highlights why procedures that work beautifully in women can look feminizing or overdone in men if not carefully adapted. The discussion also explores scar placement challenges in male patients, how surgeons approach jawline definition and neck contouring, and why volume must be used sparingly in the male face. Real world examples are used to illustrate how subtle changes can dramatically affect how natural or noticeable a result appears. The episode concludes with a deep dive into hair restoration, including modern follicular unit extraction techniques, candidacy, limitations, and why hair transplantation has become one of the most sought after procedures among men. This episode is ideal for men considering cosmetic surgery, patients researching male specific procedures, and clinicians interested in sex specific aesthetic planning and outcomes.

Mommy Makeover What It Is, What It Is Not, and How Surgeons Think About It In this episode of Beauty and the Beasts , plastic surgeons Dr. Sam Jejurikar and Dr. Salvatore Pacella take a practical look at the mommy makeover and explain why the term is often misunderstood by patients. Rather than being a single procedure, a mommy makeover typically refers to combining breast surgery and abdominal surgery to address the physical changes caused by pregnancy. The discussion focuses on how surgeons decide which procedures make sense for each patient and why efficiency, safety, and realistic expectations matter just as much as the final aesthetic result. Dr. Jejurikar and Dr. Pacella walk through common breast options such as augmentation, lift, fat transfer, and reduction, along with abdominal procedures ranging from liposuction to mini, traditional, extended, and circumferential tummy tucks. They explain what actually happens to the abdominal muscles during pregnancy, why muscle tightening is often necessary, and how that repair impacts posture, strength, and recovery. The episode also addresses some of the most common patient questions, including recovery timelines, fatigue and swelling, exercise and weight loss expectations, and concerns about scarring. The surgeons share how they counsel patients about scars, why they cannot be avoided in most tummy tuck procedures, and how thoughtful incision placement allows scars to be easily hidden. This episode is designed for patients considering a mommy makeover, anyone researching tummy tuck or breast surgery after pregnancy, and clinicians interested in how experienced surgeons think about combined procedures, safety, and patient education.

Is 40 really too young for a facelift, or is that an outdated way of thinking? In this episode of the Beauty and the Beasts Podcast , Dr. Sam Jejurikar and Dr. Sal Pacella explore how facial aging actually works and why the right timing for facial rejuvenation has far less to do with age than most people think. They discuss how volume loss, tissue laxity, weight changes, and overall health contribute to an aging appearance, and why modern facelift techniques allow for more personalized and natural results than ever before. The conversation breaks down commonly used terms like deep plane facelift and mini facelift, explaining what they really mean and why procedure names should never drive decision making. The episode also covers realistic recovery timelines, the emotional ups and downs patients often experience after surgery, and how social media and celebrity culture have reshaped expectations around facial rejuvenation. Rather than promoting a one time solution, the discussion reframes facelifting as a thoughtful, long term approach to aging well. This episode is designed for patients seeking clarity, surgeons thinking critically about technique, and anyone curious about what facial rejuvenation looks like in the modern era.

In this episode of Beauty and the Beasts, Dr. Sam Jejurikar and Dr. Sal Pacella break down the major trends that are reshaping plastic surgery in 2025 and 2026. From the explosion of GLP 1 medications and the rise of younger facelifts to the emerging role of artificial intelligence in aesthetic medicine, they discuss what is changing, why it matters, and what patients should understand before choosing a procedure. They explore how GLP 1 drugs influence body contouring, fat transfer, and surgical planning, including the challenges of skin elasticity and muscle loss. They also discuss why patients in their forties are seeking facelifts earlier than ever, the benefits of early intervention, and how new technology is improving facial analysis and surgical outcomes. The conversation also dives into the rapid growth of AI in cosmetic surgery, including imaging, patient communication, clinical documentation, and future possibilities in diagnostics and planning. If you want to understand where plastic surgery is headed and how new innovations may affect your care, this episode offers a clear and honest look at the future of aesthetics.

Should you choose facial fillers or consider cosmetic surgery? In this episode of the Beauty and the Beasts Podcast, Dr. Sam Jejurikar and Dr. Sal Pacella break down the real differences between injectables and surgical facial rejuvenation. They discuss when fillers make sense, why younger patients often prefer treatments with minimal downtime, and when surgery offers longer-lasting, more predictable results. Dr. Pacella explains the limitations of fillers around the eyes and in patients with significant sun damage, while Dr. Jejurikar highlights both the benefits and challenges of facial fat grafting. They also explore the growing trend of dissolving overfilled lips and the potential complications that semi-permanent fillers create during facelift surgery. If you’ve ever wondered whether fillers, fat grafting, or facelift surgery is right for you, this episode offers an honest, practical roadmap for choosing the best option based on age, anatomy, goals, and cost. Tags facial fillers, facelift, fat grafting, cosmetic surgery, injectables, lip filler dissolving, under-eye fillers, aging face, facial rejuvenation, plastic surgery podcast, Dr Sam Jejurikar, Dr Sal Pacella, Beauty and the Beasts Podcast

Breast augmentation is everywhere on social media, but what’s real and what’s filtered? In this episode, Dr. Jejurikar and Dr. Pacella break down the trends shaping 2025, from the “Kylie Jenner effect” to why Motiva implants are dominating patient conversations. We cut through myths, compare implant technologies, and share what every patient should know before surgery. A must-listen for anyone curious about breast implants, safety, and modern aesthetic trends.