Beauty and the Beasts

Dr. Sam Jejurikar & Dr. Sal Pacella | Plastic Surgery Experts | Facelifts, Breast Augmentation and Cosmetic Surgery Trends
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Beauty and the Beasts is a plastic surgery and cosmetic surgery podcast hosted by Dr. Sam Jejurikar and Dr. Sal Pacella. Each episode explores trending cosmetic surgery topics, real patient questions, and the latest advances in aesthetic medicine. You will hear expert discussions on facelifts, breast augmentation, tummy tucks, injectables, and modern cosmetic surgery techniques, all explained clearly and honestly. If you want trusted plastic surgery education, insights into cosmetic surgery trends, and real conversations from two board certified experts, this is your go-to podcast.

  1. 23m ago

    The Evolution of Butt Aesthetics: Is Bigger Better?

    Is bigger still better? Plastic surgeons Dr. Sam Jejurikar (Dallas) and Dr. Sal Pacella (San Diego) trace how butt augmentation went from "more is more" to the athletic, proportional look most patients ask for today. We cover why the oversized BBL fell out of favor, the fat embolism deaths that forced the specialty to change how fat is injected, why ultrasound guidance is now the standard, and what a "skinny BBL" really is. Then we get into the options when a thin patient does not have enough fat: why gluteal implants are the hardest recovery in plastic surgery, the new flexible implant being studied in the US, and AlloClae, the off-the-shelf fat product behind the surge in non-surgical butt augmentation, including what it costs and the honest answer on how long it lasts. We close with the GLP-1 patient whose real problem is loose skin, not missing volume. The bottom line: tell your surgeon what you want, not which operation you think you need, and build the plan together. Dr. Sam Jejurikar: https://dallasplasticsurgery.pro Dr. Sal Pacella: https://drpacella.com More episodes: https://beautyandthebeasts.com Beauty and the Beasts: Two Plastic Surgeons. No Filter. This episode is for educational purposes only and is not medical advice.

    The Evolution of Butt Aesthetics: Is Bigger Better?

  2. Oct 27

    The Instagram Expectation: Social Media, Filters & Patient Satisfaction

    Plastic surgery techniques have never been better. So why is patient satisfaction at an all-time low? Dr. Sam Jejurikar and Dr. Sal Pacella take on the uncomfortable answer: social media. In a 2024 survey of hundreds of plastic surgeons, roughly two-thirds named social media as the single biggest driver of patient dissatisfaction in their practices. Filters and AI-generated images now promise results no operation could deliver, and patients are arriving at consultations holding those images up as the standard. Sam and Sal trace the line from body dysmorphia to Zoom dysmorphia to Snapchat dysmorphia, why facelift and neck lift consults jumped tenfold in the years after the pandemic, and what Sal calls "the Instagram expectation": the belief that recovery is as instant as tapping a filter. They also get honest about the bind this puts surgeons in. Telling patients the truth about recovery is the right thing to do, and it can also cost you the patient. In this episode: - Why better surgery has not produced happier patients - The 2024 survey where two-thirds of plastic surgeons pointed at social media - Filtered rhinoplasty requests, and noses that only exist in an app - Body dysmorphia, Zoom dysmorphia and Snapchat dysmorphia - Why every surgeon shows their best results, and how that compounds the problem - Where AI morphing and simulated results help, and where they backfire - How both surgeons set expectations for recovery, and what it costs them (00:49) Best techniques ever, lowest satisfaction ever (01:15) Nobody knows what's real anymore (03:11) The survey: two-thirds of surgeons blame social media (04:36) Body dysmorphia to Zoom dysmorphia to Snapchat dysmorphia (06:37) Bare knuckles: good for your practice, bad for your life? (07:43) "The Instagram expectation" (08:11) Telling the truth when the truth costs you patients (10:08) AI morphing and rhinoplasty (12:13) Final thoughts Beauty and the Beasts is hosted by board-certified plastic surgeons Dr. Sam Jejurikar of Dallas, Texas and Dr. Sal Pacella of San Diego, California. Two plastic surgeons. No filter. New episodes every other Tuesday. This podcast is for educational purposes only and is not medical advice. Every patient is different. Please consult a board-certified plastic surgeon about your own situation.

    The Instagram Expectation: Social Media, Filters & Patient Satisfaction

  3. Oct 13

    Saving Your Neck: Neck Lifts, Explained

    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 Kybella disaster story involving a transatlantic flight and a very swollen neck, and both surgeons explain why they've moved on from fat dissolvers. From there it's into the deep end: submandibular gland reduction, digastric muscles, and the real risk-reward conversation behind deep neck surgery. Then the big one: is a "deep plane neck lift" a real operation or a marketing term? Two surgeons who actually do this work give it to you straight, along with why an isolated neck lift can be a great operation for men but almost never works for women, and the sleeper procedure Dr. Pacella loves for guys with short hair: the neck Z-plasty. If you're researching a consultation or just tired of the buzzwords on social media, this one gives you the anatomy, the honest opinions, and the questions to ask.

    Saving Your Neck: Neck Lifts, Explained

  4. Sep 29

    Recover Faster After Plastic Surgery: What Works and What's Hype (Journavx, Peptides, HBOT)

    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 "clear liquids" and hydration before surgery - Journavx, the first truly new class of pain medication in decades: how it works, the trial data, and why it's replacing opioids in our practices - Nerve blocks, TXA, Exparel, and old-school pain pumps - Peptides like BPC-157, TB-500, and sermorelin: what the evidence really says - The Wolverine stack: our honest results after trying it ourselves - Hyperbaric oxygen therapy (HBOT): faster healing or hopeful thinking? Watch the video version on YouTube: https://www.youtube.com/@BeautyandtheBeastsPodcast All episodes: https://www.beautyandthebeasts.com DISCLAIMER: This podcast is for informational and entertainment purposes only and does not constitute medical advice. The discussion of any medication, peptide, or therapy is not an endorsement or recommendation. Always consult your own physician before starting, stopping, or changing any treatment.

    Recover Faster After Plastic Surgery: What Works and What's Hype (Journavx, Peptides, HBOT)

  5. Sep 15

    The Truth About Downsizing

    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 oneThe 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 timeWhen downsizing requires a full breast lift versus a smaller scar option, and why patients often want to skip the lift they actually needThe 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 agoWhether 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.

    The Truth About Downsizing

  6. Sep 1

    The Truth About Scars: What Actually Works (and What Doesn't)

    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.

    The Truth About Scars: What Actually Works (and What Doesn't)

  7. Aug 18

    The Truth About Skincare: What Two Plastic Surgeons Actually Use

    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

    The Truth About Skincare: What Two Plastic Surgeons Actually Use

  8. Aug 4

    Lip Filler, Lip Lifts, and the Overfilled Era

    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.

    Lip Filler, Lip Lifts, and the Overfilled Era
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About

Beauty and the Beasts is a plastic surgery and cosmetic surgery podcast hosted by Dr. Sam Jejurikar and Dr. Sal Pacella. Each episode explores trending cosmetic surgery topics, real patient questions, and the latest advances in aesthetic medicine. You will hear expert discussions on facelifts, breast augmentation, tummy tucks, injectables, and modern cosmetic surgery techniques, all explained clearly and honestly. If you want trusted plastic surgery education, insights into cosmetic surgery trends, and real conversations from two board certified experts, this is your go-to podcast.

Information

  • Creator
    Dr. Sam Jejurikar & Dr. Sal Pacella | Plastic Surgery Experts | Facelifts, Breast Augmentation and Cosmetic Surgery Trends
  • Years Active
    2025 - 2026
  • Episodes
    25
  • Rating
    Explicit
  • Copyright
    © 2026 Beauty and the Beasts
  • Show Website
    Beauty and the Beasts

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