The Scalpel's Edge

Dr. Tim Sayed
  • 5.0 (5)
  • MEDICINE
  • UPDATED BIMONTHLY

The Scalpel's Edge is a podcast hosted by Dr. Tim Sayed, a leading plastic surgeon and physician innovator, dedicated to exploring the forefront of excellence and wellness. The show delves into cutting-edge medical technologies, industry controversies, and innovative approaches to healthcare and personal growth. With insightful discussions featuring top leaders and innovators from healthcare and beyond, the podcast aims to optimize performance, enhance wellness, and deepen self-understanding. Listeners can follow the podcast on platforms like Apple and Spotify to join this journey into groundbreaking advancements and out-of-the-box thinking.

  1. 3D AGO

    Ep. 32 - Breast Implant Illness and Explant Surgery: One Patient's Journey Through Symptoms, Revisions, and Recovery

    Dr. Tim Sayed speaks with Rachel Blogg, a licensed psychotherapist and athlete who spent roughly three and a half years navigating breast augmentation, multiple revisions, capsular contracture, implant malposition, and eventually explant surgery before finding relief from symptoms she hadn't initially connected to her implants at all. Rachel's account moves through the full arc — from her original decision to augment after breastfeeding two children, to a series of escalating complications including bottoming out, repeated capsular contracture, and an unsanctioned implant exchange that left her significantly asymmetric and heavier, unable to exercise, and experiencing joint pain severe enough that she underwent four separate trigger finger surgeries that, in retrospect, may never have been necessary. Dr. Sayed contextualizes what Rachel experienced — biofilm theory, the mechanics of under-muscle placement and restricted breathing, and why complete capsulectomy matters in explant surgery — while being careful not to overstate what the evidence currently supports about breast implant illness. Rachel describes symptom resolution that began in the recovery room and continued over the following years: finger pain gone, hair regrowing, thyroid levels stabilizing, and twenty-two pounds lost without changing her approach to diet or training. The conversation turns honestly toward the psychological dimension — radical acceptance as a clinical concept, body image work, the role of a supportive partner, and why Rachel, a DBT therapist herself, waited a full year before pursuing her final surgery. The episode doesn't resolve the broader debate around BII, but it doesn't need to. What it offers is one carefully observed account of what recovery from implants can actually look like. Contact Dr. Tim Sayed: Phone: (858) 247-2933 Email: info@timsayedmd.com Website: timsayedmd.com Instagram: @timsayedmd YouTube: @Timsayedmd Facebook: Tim Sayed MD

    1h 18m

  2. APR 21

    Ep. 31 - Breast Implant Removal and the Flat Chest Decision: What Explant Surgery Really Looks Like

    Dr. Tim Sayed opens with a published personal account from a 56-year-old runner and author who had saline implants placed in the early 2000s and chose, two decades later, to have them removed and stay flat. The story moves through familiar territory for explant patients — the original decision made from insecurity, the body changes that followed breastfeeding, the capsular contracture that eventually developed, and the years it took to arrive at a choice that felt genuinely her own. Sayed doesn't frame the original augmentation as a mistake, but he is candid about how often external pressure — cultural, familial, sometimes from a partner — shapes these decisions in ways patients don't fully recognize at the time. He reflects on why pre-surgical counseling matters, and why the question of motivation deserves more attention than it typically gets in a cosmetic surgery context. The conversation also touches on a newly launched device, the Explant Express from Applied Medical Technology, a suction retrieval system designed to help surgeons manage ruptured implants during removal more cleanly. Sayed explains the real surgical challenge it's meant to address — silicone containment when the capsule tears — and notes he hasn't used it yet, but sees a plausible role for it in known rupture cases. What runs underneath both segments is the same honest question: what does it actually mean to accept your body as it is, and how long does that usually take. Contact Dr. Tim Sayed: Phone: (858) 247-2933 Email: info@timsayedmd.com Website: timsayedmd.com Instagram: @timsayedmd YouTube: @Timsayedmd Facebook: Tim Sayed MD

    28 min

  3. APR 7

    Ep. 30 - Oral GLP 1 Is Here - What It Means for Weight Loss

    Dr. Tim Sayed takes a closer look at the latest shift in medically supervised weight loss with the FDA approval of an oral GLP-1 medication. After years of injections dominating the space, a once daily pill introduces a new layer of accessibility, convenience, and patient choice. He walks through how these medications actually work in the body, from slowing gastric emptying to quieting food noise, and why they’ve been so impactful for patients struggling with weight loss. The conversation stays grounded in real-world considerations, including affordability, insurance access, and the role compounding pharmacies have played as demand surged. There’s also a thoughtful comparison between competing medications, looking at effectiveness, side effects, and what really matters when deciding between options. Questions around long term use, maintenance, and sustainability are part of the reality, not something to gloss over. It’s not about hype or quick fixes. It’s about understanding what’s changing, what’s promising, and what still requires careful consideration as this space continues to evolve. Contact Dr. Tim Sayed: Phone: (858) 247-2933 Email: info@timsayedmd.com Website: timsayedmd.com Instagram: @timsayedmd YouTube: @Timsayedmd Facebook: Tim Sayed MD

    28 min

  4. MAR 3

    Ep. 29 - What a New Oral GLP-1 Study Means for Type 2 Diabetes and Weight Loss

    Dr. Tim Sayed takes a thoughtful look at newly published data from the Achieve 3 trial, a 52-week head-to-head study comparing Eli Lilly’s investigational oral GLP-1, orforglipron, to oral semaglutide in adults with type 2 diabetes not adequately controlled on metformin. Published in The Lancet, the study showed greater A1C reduction and more weight loss at higher doses of orforglipron, with improvements appearing as early as four weeks and sustained through the full year. Participants also saw clinically meaningful changes in cardiovascular risk markers, including non-HDL cholesterol, HDL, triglycerides, and systolic blood pressure. Dr. Sayed walks through how the trial was structured, what the numbers actually represent, and what to make of the higher rates of gastrointestinal side effects seen with the more potent dosing. He reflects on what it takes for a medication to move through phase three trials and toward FDA review, and why that rigor matters. From practical issues like dosing and food restrictions to the broader landscape of compounding pharmacies and evolving GLP-1 access, this is a grounded conversation about where the science stands and what may be coming next. Contact Dr. Tim Sayed: Phone: (858) 247-2933 Email: info@timsayedmd.com Website: timsayedmd.com Instagram: @timsayedmd YouTube: @Timsayedmd Facebook: Tim Sayed MD

    20 min

  5. FEB 17

    Ep. 28 - GLP-1 Weight Loss Is Changing Fast. Here’s What Patients and Doctors Need to Know

    On The Scalpel’s Edge, Dr. Tim Sayed takes a clear-eyed look at where GLP-1 weight loss medications are headed and why the landscape feels so unsettled right now. From the FDA’s latest move against compounded GLP-1 drugs to the rise of direct-to-consumer platforms and the new TrumpRX pricing model, this is an honest, surgeon-level reflection on access, affordability, and control. Dr. Sayed shares how these shifts affect real patients, real practices, and the expectations around weight loss, plastic surgery, and long-term health. It’s a grounded conversation about what’s changing, what may disappear, and what still matters when medicine, regulation, and patient care collide. Contact Dr. Tim Sayed: Phone: (858) 247-2933 Email: info@timsayedmd.com Website: timsayedmd.com Instagram: @timsayedmd YouTube: @Timsayedmd Facebook: Tim Sayed MD

    30 min

  6. FEB 3

    Ep. 27 - What Really Happens When You Stop GLP-1’s and What Might Help You Keep the Weight Off

    Dr. Tim Sayed walks through some recent developments in the GLP-1 space that raise a question almost everyone on these medications eventually asks. What happens when you stop. He reflects on new data around weight regain after discontinuing GLP-1 drugs, including a large meta-analysis showing how quickly weight and metabolic markers tend to return toward baseline once the medication is stopped. He also breaks down early clinical data on an endoscopic procedure called Revita that aims to support weight maintenance after GLP-1 discontinuation by targeting the duodenum. The discussion stays grounded in real numbers, practical tradeoffs, and the lived reality of patients weighing long term injections versus invasive but one-time interventions. Along the way, Dr. Sayed addresses cost, insurance gaps, emerging alternatives, and why maintenance is likely the real long-term conversation with GLP-1 therapy. The tone is thoughtful, measured, and honest about both the promise and the limits of current options. Contact Dr. Tim Sayed: Phone: (858) 247-2933 Email: info@timsayedmd.com Website: timsayedmd.com Instagram: @timsayedmd YouTube: @Timsayedmd Facebook: Tim Sayed MD

    25 min

  7. JAN 13

    Ep. 26 - Breast Implant Illness and the Moment Someone Finally Believed Her

    On The Scalpel’s Edge, Dr. Tim Sayed talks with Elizabeth Everett about her experience with breast implant illness and what it was like to spend years feeling dismissed while her body kept sending louder and louder signals. She shares why she chose implants after having her third son, how symptoms slowly built over time, and the way stress, hormones, and a foreign body in her system seemed to create a perfect storm. Elizabeth walks through the health changes that pushed her to keep searching for answers, the relief of finally hearing a doctor say “you are not crazy,” and what the explant surgery revealed once she was opened up. They also talk honestly about how invalidation can damage mental health, why the breast implant illness conversation gets so polarized, and what it means to find self trust again while your body heals in stages. The conversation stays grounded in the reality that recovery can be a longer process, with small wins that add up over months, and it ends with a simple message Elizabeth wishes more women heard sooner: listen to your body, keep advocating for yourself, and know there is help and hope. Contact Dr. Tim Sayed: Phone: (858) 247-2933 Email: info@timsayedmd.com Website: timsayedmd.com Instagram: @timsayedmd YouTube: @Timsayedmd Facebook: Tim Sayed MD

    59 min

  8. 12/30/2025

    Ep. 25 - Understanding GLP1 Side Effects with Dr. Tim Sayed Exploring Anemia Nutrition and Exit Strategies

    In this episode of The Scalpel’s Edge, Dr. Tim Sayed takes a deep dive into the latest research on GLP1 medications and the lesser known side effects patients may experience. Drawing from new studies, clinical insights, and his own experience with GLP1 therapy, Dr. Sayed breaks down how these medications may influence anemia risk, micronutrient deficiencies, appetite changes, and overall metabolic health. He also explores new data on hemoglobin changes, iron intake, B12 levels, and nutritional patterns seen in GLP1 users. Dr. Sayed reviews current guidance for assessing risk, monitoring labs, and supporting patients through evidence-informed nutritional strategies. The episode closes with an important discussion on tapering and discontinuation, highlighting why there is still no standardized exit plan and how physicians can work with patients to navigate the evolving landscape of GLP1 treatment. Tune in for a grounded, practical, and insightful conversation on optimizing health while using GLP1s. Contact Dr. Tim Sayed: Phone: (858) 247-2933 Email: info@timsayedmd.com Website: timsayedmd.com Instagram: @timsayedmd YouTube: @Timsayedmd Facebook: Tim Sayed MD

    23 min
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5
out of 5
5 Ratings

About

The Scalpel's Edge is a podcast hosted by Dr. Tim Sayed, a leading plastic surgeon and physician innovator, dedicated to exploring the forefront of excellence and wellness. The show delves into cutting-edge medical technologies, industry controversies, and innovative approaches to healthcare and personal growth. With insightful discussions featuring top leaders and innovators from healthcare and beyond, the podcast aims to optimize performance, enhance wellness, and deepen self-understanding. Listeners can follow the podcast on platforms like Apple and Spotify to join this journey into groundbreaking advancements and out-of-the-box thinking.

Information

  • Creator
    Dr. Tim Sayed
  • Years Active
    2025 - 2026
  • Episodes
    33
  • Rating
    Clean
  • Copyright
    © 2026 The Scalpel's Edge
  • Show Website
    The Scalpel's Edge