Plastic Surgery Untold

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.

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.

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.

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.

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.

Season Five of Plastic Surgery Untold launches at Octane 2026 with an in depth conversation on where facial rejuvenation is headed next, featuring Dr. Daniel Gould, MD, PhD. As facelift surgery continues to evolve, this episode focuses on how modern techniques are moving beyond simple skin tightening and into precise, anatomy driven restoration designed to create natural, long lasting results. In this episode, the conversation covers: How facelift surgery has shifted from tension based techniques to deep plane and preservation focused approaches The role of detailed anatomic mapping, including facial ligaments and internal support structures Why repositioning tissue to its natural location creates softer, more authentic outcomes How regenerative strategies and refined fat transfer are improving skin quality and longevity The discussion also explores the bigger picture of patient care, including pre operative optimization, long term planning, and the growing role of technology. With insights into how AI and improved communication tools are shaping the future of plastic surgery, this episode sets the tone for what 2026 and beyond will look like in aesthetic medicine. Season Five begins with a clear message: better anatomy, better planning, and better education lead to better results.

The latest episode of Plastic Surgery Untold breaks down what surgeons really mean by the term gummy bear implant.These are highly cohesive gel implants designed to reduce rippling, hold their shape, and still feel soft and natural—earning their nickname because the gel sticks together like a gummy bear candy. What sets them apart is the balance of structure and softness. Today's implants offer projection and fullness while staying flexible, making them an especially valuable option for patients who've lost breast volume after major weight changes, including those experiencing "Ozempic breast." • Highly cohesive gel minimizes rippling • Form-stable design adds shape and projection • Softer feel for a natural look and touch Every manufacturer has slightly different versions, so the right choice depends on each patient's anatomy and goals. These advances give surgeons more freedom to tailor breast enhancement for truly natural results. Catch the full conversation now on Plastic Surgery Untold, streaming on Spotify, Apple Podcasts, iHeart, Pandora, and YouTube.

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.

Not every patient is a candidate for a traditional tummy tuck, and that's where the reverse tummy tuck can be a game-changer. In this episode of Plastic Surgery Untold, Dr. Franco breaks down why this procedure is becoming so popular, especially for patients on their weight loss journey. This approach focuses on lifting and tightening the skin above the belly button with an incision hidden discreetly under the breast fold. For the right candidate, it creates beautiful, natural results without the need for a lower abdominal scar. Key highlights include: Removes excess skin above the belly button Incision hidden in the natural breast crease Often combined with liposuction or skin tightening treatments Great for patients with a high belly button or minimal lower abdominal laxity While not everyone is the right fit for this procedure, for those who are, the reverse tummy tuck can transform the abdomen and reveal definition that's already there. Listen to the full episode of Plastic Surgery Untold on Spotify, Pandora, iHeart, or watch it on YouTube for Dr. Franco's full breakdown of what makes the reverse tummy tuck such an exciting option.

Breast implants have come a long way, and on this episode of Plastic Surgery Untold we're breaking it all down. From saline implants to today's 6th generation cohesive gel implants, the options available now are more versatile than ever. Each type comes with unique advantages, and the right choice depends on your body, lifestyle, and aesthetic goals. Saline implants offered safety and flexibility with volume adjustments, but also came with firmness and rippling. Fifth generation gummy bear implants introduced highly cohesive gel for softness and shape, reducing rippling and improving results. Now, the sixth generation implants build on this progress with 100% fill, progressive gels, and advanced shell technology, giving patients more natural results and surgeons greater control. At the end of the day, there's no one-size-fits-all solution. Some patients may benefit from the structure of 6th generation Motiva implants, while others may prefer a different option based on their anatomy or desired outcome. The key is finding what's best for you — and that's what we help patients decide every day. Key takeaways from this episode: Saline implants provided safety and flexibility, but were firmer with higher rippling. Fifth generation gummy bear implants brought softness, safety, and customization. Sixth generation implants combine natural movement with structure, helping address challenges like weight loss changes and rippling. Stay tuned to Plastic Surgery Untold for more insights as we explore the world of cosmetic surgery, the evolution of breast implants, and how technology continues to expand patient options.

Cellulite is one of the most common concerns we see in the world of aesthetics — but there's a lot of misinformation about what causes it and how to address it. In this episode of Plastic Surgery Untold, we're breaking down the truth about cellulite, how it relates to modern BBL trends, and why it's not just a "being out of shape" issue. From understanding the complex web of fibrous bands beneath the skin to exploring the role of hormones, skin laxity, and volume changes, we're covering the anatomy of cellulite and the latest treatment options that actually work. Whether you're dealing with dimples on the butt, thighs, or both, this conversation is packed with insights to help you target the root cause and get results you love. Highlights from this episode: • What cellulite actually is and why it happens • The difference between cellulite, skin laxity, and volume changes • Why targeted treatment is key for lasting results • How non-surgical office procedures can transform the contour of the butt and legs • Combination approaches that address all three concerns for the best outcome Listen anywhere you get your favorite podcasts or watch on YouTube for visuals and case examples.

In this episode of Plastic Surgery Untold, we explore Renuvion — also known as J Plasma — a cutting-edge skin tightening technology that combines radiofrequency energy with helium for rapid, precise skin contracture at safe temperatures. With the surge in weight loss from GLP-1 medications, skin laxity has become a major concern for many patients. Renuvion offers a safe, efficient solution with minimal downtime, making it ideal for today's active, on-the-go lifestyles. Key takeaways from this episode: ✅ How Renuvion works & the science behind RF + helium technology ✅ Why it's a game-changer for post-weight loss skin tightening ✅ Safety features that protect skin while delivering natural results ✅ How it pairs with high-definition liposuction for complete contouring Whether you're addressing loose skin after weight loss or looking for subtle, natural definition, Renuvion can help you look as good as you feel — without long recovery times. 🎧 Listen to the full episode of Plastic Surgery Untold wherever you get your podcasts.

Brazilian butt lifts have been one of the most transformative procedures in aesthetics, and with new technology, they're safer than ever. In this episode of Plastic Surgery Untold, we're breaking down how the combination of advanced anatomical understanding and ultrasound guidance has completely changed the game for BBL safety and results. A BBL offers powerful total-body transformation — subtracting fat from areas like the abdomen or love handles, and adding it to the hips and buttock for enhanced curves. In recent years, the focus has shifted from simply increasing size to creating shape, balance, and athletic definition. Key factors in today's BBL approach: Ultrasound guidance for precise, real-time fat placement in safe compartments Shape over size for a fit, natural look that complements the whole body Combination treatments like skin tightening, cellulite reduction, and targeted fat transfer for complete contouring By staying above the muscle and placing fat only in fat compartments, modern BBLs avoid dangerous complications while achieving smooth, shapely results. Whether paired with tummy tucks, rib contouring, or skin tightening, this evolution in technique means patients can look as good as they feel. Listen to the full episode on Plastic Surgery Untold wherever you get your favorite podcasts — and see why the BBL remains one of the most in-demand procedures today.

What Is High Definition Liposuction? In this episode of Plastic Surgery Untold, we break down everything you need to know about high definition liposuction (HD lipo) — a body contouring technique designed to enhance your natural anatomical structure, not just remove fat. HD lipo focuses on creating defined lines and contours by sculpting around the body's existing musculature, achieving results that look fit, natural, and tailored to each patient. We cover the different levels of HD lipo — from soft and subtle vertical lines to ultra-definition with etched abdominal inscriptions. Not everyone is a candidate for high definition lipo, and that's why we also discuss when combining treatments like skin tightening or targeted fat transfer (such as for the butt, hips, or pecs) can take your results to the next level. Key highlights include: How ultrasound technology guides precision liposculpting to ensure natural contours and smooth transitions. Post-op pearls and recovery tips, plus why skin laxity and Renuvion tightening are critical for optimal results. Expanding HD lipo beyond the abdomen, including arms, back, chest, and shoulders — ideal for both women and men aiming for a sculpted look. This episode dives into the artistry behind HD lipo and explains how it differs from traditional liposuction. Whether you want subtle definition or a chiseled, athletic appearance, understanding the right approach for your body is key. Listen to the full episode of Plastic Surgery Untold anywhere you get your favorite podcasts — or watch it on YouTube to see real results and behind-the-scenes visuals.

Where can you actually use AlloClae? Dr. Franco breaks down how this first-of-its-kind filler for the body is changing what's possible. From subtle refinements to shape and volume exactly where you want it, AlloClae is donor fat processed for safety, ready off the shelf, and made specifically for larger body areas that traditional fillers can't handle. Patients love that it skips major surgery, keeps downtime low, and still delivers natural-looking results that blend perfectly with your anatomy. Popular areas to enhance: Hip dips, butt contour, calves Lipo irregularities, dents, or trauma spots Breast rippling, asymmetry, small touch-ups Muscle definition for pecs, shoulders, abs and more Arms, thighs, hands — anywhere you want a smooth shape AlloClae gives you more control, better shape, and results that look like you — just more sculpted. If you've ever wished you could fix tiny details without another round of surgery, or shape areas you can't hit with the gym alone, this opens a whole new world. Watch the full deep dive on YouTube or tune in wherever you get your favorite podcasts.  

Plastic Surgery Untold: What Is Breast Preservation? You've heard the buzz about breast preservation surgery — but what is it, really? On this episode of Plastic Surgery Untold, Dr. Franco breaks down what sets this approach apart and how it fits into the world of breast enhancement. Breast preservation focuses on enhancing shape over size, using a technique that maintains your natural anatomy and often allows for a faster, more comfortable recovery. It's an exciting option for the right patient — but it's not the only one. For others, more traditional implants or placement methods may still be the better fit based on their goals and anatomy. Some highlights: No general anesthesia required: Most patients undergo light sedation, making for a smoother recovery. Shape-first approach: Best for patients who want subtle enhancement or upper pole fullness without significant volume increase. Preserves supportive structures: Rather than cutting ligaments, they're carefully moved to create a secure "nesting" effect for the implant. Minimal incision: As small as 1.8 cm, for less visible scarring and a more discreet result. Custom placement: Allows for volume where it's needed most, without unnecessary bulk where natural volume already exists. Whether you're exploring subtle changes or looking for more dramatic volume, breast preservation is one of several thoughtful approaches — and the best results come from matching the right technique to the right patient. Watch or listen to the full episode of Plastic Surgery Untold to learn more and see the technique in action on YouTube or your favorite podcast platform.

In this episode of Plastic Surgery Untold, Dr. Franco breaks down one of the biggest questions patients have when planning a breast augmentation or implant exchange: Where should your breast implants go? Placement options like under the muscle, above the muscle, or subfascial have come a long way as implant technology and surgical techniques improve. Dr. Franco explains how your unique anatomy, the type of implant you choose, and your goals for shape, cleavage, and feel all play a role in finding the best option for you. From older saline implants to today's highly cohesive gels, knowing the differences can help you get a natural result and protect your natural muscle and tissue. Key topics covered: How under the muscle, dual plane, and subfascial placement each affect cleavage, shape, animation deformity, and recovery time Why newer implants and cohesive gels have changed what's possible and why more patients are considering above the muscle placement The role of the pec major muscle, natural ligaments, and internal bras to support your results and help with rippling or implant show What to know about breast preservation techniques and next-generation implants that are on the way in 2026 This episode will help you ask the right questions and understand the real pros and cons so you and your surgeon can choose what works best for your body and your goals. See the anatomy visuals and hear the full breakdown on YouTube. Plastic Surgery Untold, greatest podcast in the world as voted by us!  

The Rib Revolution Is Here On the latest episode of Plastic Surgery Untold, we're diving into one of 2025's most buzzed-about procedures — RibX. This isn't your average waist contouring. Rib remodeling, also known as RibX, helps patients who want that snatched, fit silhouette without looking overfilled or overdone. It's an innovative approach that allows us to reshape the rib cage for enhanced curves — especially for patients who are naturally lean, have had a prior BBL, or simply want to refine their shape further. With body contouring shifting toward shape over size, RibX is changing what's possible. What makes RibX revolutionary: Precision-guided with ultrasound for safe, accurate reshaping Tiny incision — smaller than a pinky Ideal for lean patients, failed BBLs, or combo procedures Great when paired with liposculpting, fat transfer, or AlloClae Post-op corset locks in long-term results Offers structure and flow from waist to hips to butt This episode breaks it all down — from the history of rib aesthetics to the step-by-step surgical process and post-op care. Whether you're starting your transformation or revisiting a past procedure, RibX could be the key to your dream silhouette. Watch the full episode now on YouTube or wherever you stream your favorite podcasts.

In this episode of Plastic Surgery Untold, Dr. Franco gives a full breakdown of Alloclae, one of the hottest products of 2025 and a true game-changer for body contouring. What makes Alloclae unique? It is the first sterile, hydrated a-cellular adipose tissue filler designed specifically for large-volume body enhancements. Think donor fat that is safely processed for strength and structure, giving patients natural-looking results for areas like hip dips, scars, lipo contour irregularities, and more. Key Topics Discussed: How Alloclae fills the gap between fat transfer, HA fillers, and biostimulants Why its honeycomb structure, high adipocyte ratio, and biocompatibility make it different Practical benefits like off-the-shelf, room-temperature storage, no surgical downtime, and ready-to-use treatments for body shaping Why patients without enough donor fat or those who want to avoid liposuction now have a strong alternative Alloclae is not just another filler. It is structural, versatile, and designed to lift and shape in ways we have never had before. Tune in to hear why it is one of Dr. Franco's favorite new tools for reshaping and refining the body, and be sure to check it out in action on YouTube.  

In this episode of Plastic Surgery Untold, we're joined by Danielle Fette, burn nurse and regenerative medicine expert behind ReyaGel—a company bringing hospital-grade healing technology into the aesthetic world. With decades of proven results treating burns, trauma, and chronic wounds, ReyaGel's newly cleared gel-based ECM formula is now making recovery from lasers, microneedling, and surgery faster, safer, and more effective. Key Topics Discussed: What Is ReyaGel? – A next-gen blend of extracellular matrices packed with biomolecules to support accelerated skin healing and reduce downtime. From Burn Units to Beauty Clinics – How a life-saving hospital product evolved into an aesthetic recovery essential. A New Era of Healing: How combining ECMs with other regenerative tools like PRP and exosomes enhances outcomes in even the most aggressive treatments. If you're looking for the future of post-procedure recovery, ReyaGel is leading the charge with science, safety, and skin health at the forefront.