Plastic Surgery Untold

Johnny Franco

Welcome to Plastic Surgery Untold, Beyond Botox and Butt. I am Dr. Johnny Franco also known as Austin Plastic Surgeon. Our mission is to take you on the roller coaster ride that is our lives and hopefully teach you about plastic surgery along the way! We will cover a variety of topics from Botox to Breast implants to the infamous Brazilian Butt Lift. Whether you are considering plastic surgery or just want to listen to the most entertaining podcast in the world, this is for you!

  1. 1D AGO

    Sugam Arora Explains the Future of AI Led Aesthetic Consults at Octane 2026

    Kicking off another forward-thinking conversation at Octane, this episode dives into how AI is reshaping the patient journey long before someone ever steps into the office. Sugam Aurora, founder of Ponce AI, breaks down how smarter, on-demand patient education is tackling one of the biggest challenges in aesthetics today: misaligned expectations, limited time, and inefficient consults. Instead of replacing the provider relationship, this approach strengthens it. By educating patients ahead of time, AI helps remove confusion, hesitation, and guesswork so consultations can focus on strategy, personalization, and expertise rather than basic explanations. In this episode, we cover: How AI can prepare patients before their consult without removing the human connection Why informed patients lead to better conversations, better trust, and better outcomes Turning consultations into focused, high-value discussions instead of feeling transactional How AI helps demystify aesthetics and lowers the barrier for patients who are curious but unsure Why patient engagement happens outside traditional office hours and how technology needs to meet them there How providers can reclaim time without sacrificing quality or care The big takeaway is simple but powerful: AI is not here to replace doctors, it is here to support them. When patients arrive already educated on their options, providers can spend their time doing what they do best: guiding, refining, and delivering results. This is what smarter efficiency looks like, and it is quickly becoming the new standard for how aesthetic practices operate moving forward.

    5 min
  2. FEB 17

    Aesthetic Trends and Real Data with Erik Haines of QSight at Octane 2026

    The latest episode of Plastic Surgery Untold brings us to Octane 2026 with Erik Haines of QSight, one of the clearest voices in aesthetic industry data and trend intelligence. This conversation zooms out from individual practices and looks at what's actually happening nationwide, using real transaction-level data to track patient behavior, spending, and where aesthetics, wellness, and weight loss are headed next. Erik breaks down how GLP usage has shifted from explosive growth to a steadier plateau inside aesthetic practices, and why that doesn't mean opportunity is shrinking. Instead, access points are changing, and aesthetic care is becoming more integrated with weight loss, body contouring, and long-term wellness. The data shows that while patients may not always be purchasing GLPs directly through practices anymore, they are still investing heavily in complementary treatments that help them look as good as they feel. Key takeaways from this episode: GLP spend within aesthetic practices has stabilized, but patient demand has not declined Weight loss is now fully embedded in modern body contouring conversations Post-weight-loss concerns like skin laxity and volume loss are driving aesthetic treatments Wellness, longevity, and aesthetics are merging into a single patient journey 2026 will continue pushing practices toward a "look good, feel good" model backed by real data This episode is a must-listen for anyone trying to understand where aesthetics is actually going, not just where the hype says it's headed. Real numbers, real trends, and a grounded look at how practices can adapt and thrive in a rapidly evolving landscape.

    6 min
  3. FEB 10

    Why AI Is the Next Major Leap in Aesthetics with Dr. Roy Kim at Octane 2026

    At Octane, we sat down with Dr. Roy Kim, one of the leading voices in artificial intelligence within aesthetics, to talk about where AI is actually headed in 2026 and beyond. What's changing right now is not hype, it's usability. AI is moving from novelty tools into systems that genuinely improve how surgeons run practices, communicate with patients, and make better decisions faster, without losing the human element that matters most. Dr. Kim breaks down how personalization is becoming the real game changer. Not personalization as a buzzword, but AI that understands your business, your patients, your outcomes, and even your communication style. From vibe coding and custom apps to AI-assisted consultations and education, this shift has the potential to reduce miscommunication, align expectations, and ultimately create happier patients and better outcomes. Key takeaways from this episode include: AI as a business equalizer, helping independent practices compete without private equity Smarter patient education tools that improve consultations and informed consent AI-driven visualization that aligns surgical planning with a patient's aesthetic goals The rise of AI avatars, chatbots, and personalized patient materials A future where efficiency improves without sacrificing emotional connection or trust This conversation sets the tone for how artificial intelligence will shape aesthetics in 2026, not by replacing surgeons, but by amplifying expertise, clarity, and patient experience. Catch the full episode of Plastic Surgery Untold at Octanewherever you get your podcasts, or watch on YouTube for the full discussion.

    5 min
  4. FEB 3

    Inside the Preservation Movement with Dr. Kamakshi Zeidler at Octane 2026

    Season 5 continues at Octane 2026 with Dr. Kamakshi Zeidler. Breast enhancement is no longer just about augmentation. At Octane 2026, we sat down with Dr. Kamakshi Zeidler, one of the leaders redefining what modern breast enhancement looks like, and why 2026 is shaping up to be a major turning point. This conversation dives into how preservation-based techniques and injectable technologies are changing everything from recovery time to long term results, especially for patients who want natural outcomes without aggressive surgery. Key takeaways from this episode: Breast enhancement is shifting toward preservation, not destruction of anatomy Preserve techniques allow implants to be placed while maintaining ligaments and natural support Faster recovery, minimal anesthesia, and more stable long term results The growing role of AlloClae in sculpting cleavage and refinement, especially in thinner patients Why over-the-muscle implants are becoming safer and more predictable with newer implant technology How GLP-related body changes are influencing who benefits most from combination approaches The biggest trend heading into 2026: breast enhancement without general anesthesia and back to the gym in under a week This episode highlights how combining preservation techniques with next-generation injectable options is creating a completely new category of breast enhancement. Less trauma. More precision. Better longevity.

    3 min
  5. JAN 27

    The Evolution of Wellness Medicine with Dr. Johnathan Kaplan at Octane 2026

    The latest episode of Plastic Surgery Untold kicks off Octane 2026 with an in depth conversation on the rapidly evolving world of weight loss, wellness, GLP medications, and peptides featuring Dr. Jonathan Kaplan, founder of DrWell. As demand for medical weight loss continues to grow, this episode breaks down what providers and patients actually need to understand to stay safe, compliant, and effective. Dr. Kaplan shares how DrWell helps physicians navigate the increasingly complex wellness landscape, from pharmacy sourcing and regulatory compliance to advertising restrictions and medication access. With new GLP formulations, oral options, and peptides entering the market quickly, this discussion focuses on separating what is legitimate from what puts licenses and patient safety at risk. Key takeaways from this episode include How GLP medications, oral options, and injectables differ in real world effectiveness Why LegitScript certification matters for advertising and compliance The risks of research grade and veterinary use medications What providers should know about 503A pharmacies and compounded formulations Why peptides are expected to grow significantly in 2026 How wellness programs fit into surgical planning and long term patient outcomes This episode offers a clear look at where weight loss and wellness are headed in 2026, what innovations are coming next, and how responsible oversight protects both patients and providers. If you are navigating GLPs, peptides, or wellness integration in aesthetics, this conversation provides critical context for what is changing and what to watch closely. Listen to the latest episode of Plastic Surgery Untold from Octane 2026 anywhere you get your podcasts, or watch the full conversation on YouTube.

    15 min
  6. 08/26/2025

    Beyond 800cc: The Future of Breast Implants

    For years, the largest silicone or gummy bear implant available capped at 800cc. We break that down in this episode of Plastic Surgery Untold. It left patients who wanted, or needed, more fullness with only one option — saline implants, which often sacrificed softness for size. Now, with the arrival of Mentor Enhanced breast implants, patients have the option to go beyond 800cc — all the way up to 1450cc — while still enjoying the benefits of a gel implant. Originally developed for breast reconstruction, these implants are FDA-approved for that use and can also be used off-label in cosmetic surgery. This opens the door for both reconstruction and aesthetic patients who have limited natural breast tissue or who simply want a fuller look. Key things to know: Mentor Enhanced implants expand size options past 800cc, up to 1450cc. They were first designed for reconstruction, where larger volumes are often needed. Softer than overfilled saline implants, they keep the benefits of a gel implant. Not every patient is a candidate — safety, tissue limits, and support options like internal bras must be considered. This episode of Plastic Surgery Untold breaks down what these new implants mean for patients, the pros and cons of going larger, and how to know if this option might be right for you. 🎧 Catch the full episode of Plastic Surgery Untold anywhere you get your favorite podcasts — Spotify, Apple, iHeart, Pandora — or watch on YouTube to see implant comparisons in action.

    8 min
5
out of 5
39 Ratings

About

Welcome to Plastic Surgery Untold, Beyond Botox and Butt. I am Dr. Johnny Franco also known as Austin Plastic Surgeon. Our mission is to take you on the roller coaster ride that is our lives and hopefully teach you about plastic surgery along the way! We will cover a variety of topics from Botox to Breast implants to the infamous Brazilian Butt Lift. Whether you are considering plastic surgery or just want to listen to the most entertaining podcast in the world, this is for you!