Episodes

Neck lifts are exploding in popularity, and it's one of the few areas of facial rejuvenation where men show up as often as women. In this episode, Dr. Sam Jejurikar and Dr. Sal Pacella break down the aging neck layer by layer: skin, fat, muscle, and glands, and get honest about which treatments actually deliver. They dig into why radiofrequency devices like Morpheus8 and SoftWave impress at first but often disappoint later, and who's genuinely a good candidate. Dr. Jejurikar shares his own Kybe...

What actually helps you recover faster after plastic surgery, and what's just hype? Board-certified plastic surgeons Dr. Sam Jejurikar (Dallas, TX) and Dr. Sal Pacella (San Diego, CA) separate the evidence from the wishful thinking, including their own self-experiments with the "Wolverine stack." In this episode: - ERAS protocols: staying ahead of pain and nausea before surgery even starts - Aprepitant (Emend), the one-pill prescription that prevents postoperative nausea - The truth about "cle...

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 manufacture...

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 sil...

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...

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 th...

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 ...

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, thinni...

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, ...

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 ...

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 becom...