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Lipstick & Lipo: Your Unfiltered Guide to Plastic Surgery

Lipstick & Lipo: Your Unfiltered Guide to Plastic Surgery
Author: Dr. Smita Ramanadham and Dr. Ashley Amalfi
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Join us, two Board-Certified female Plastic Surgeons, as we discuss all things plastic surgery, beauty, and wellness. No topic is off-limits. Our mission is to provide you with accurate information and educate in a real, approachable, and relatable way.
Dr. Smita R. Ramanadham is a double-board certified plastic surgeon in private solo practice in NJ and Dr. Ashley Amalfi is a board certified plastic surgeon in private practice in Rochester, NY.
We share a love and passion for plastic surgery, mentorship, women in surgery, and, fashion (of course!)! Our friendship has been so natural and organic that it only made sense that we would start this adventure together. We hope you enjoy these episodes as much as we enjoyed making them!
Dr. Smita R. Ramanadham is a double-board certified plastic surgeon in private solo practice in NJ and Dr. Ashley Amalfi is a board certified plastic surgeon in private practice in Rochester, NY.
We share a love and passion for plastic surgery, mentorship, women in surgery, and, fashion (of course!)! Our friendship has been so natural and organic that it only made sense that we would start this adventure together. We hope you enjoy these episodes as much as we enjoyed making them!
120 Episodes
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We're back answering your real breast surgery questions! This time we're tackling mesh use, internal bras with lifts, and mastectomy reconstruction - all the super specific technical questions you've been asking about.
What You'll Learn:
Whether using mesh on only one breast causes long-term asymmetry issues
If you can get an internal bra at the same time as a breast lift.
Why we prefer symmetrical procedures even when only one side needs correction.
Our latest approach to mastectomy reconstruction (over vs under the muscle).
How technology has evolved to allow less invasive techniques with better results.
Why auto augmentation with internal bra works well for smaller lifts.
Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode. Part 3 coming next week keep those questions DM us on Instagram!
Connect with Dr. Smita
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Connect with Dr. Amalfi
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Instagram
We have compiled all your questions, starting with the first segment about breast implants.
From dual plane confusion to teardrop implant disappoint, we're talking about the technical details you actually want to know and explaining why implant technology has evolved so much that old ways of doing things might not apply anymore.
What You'll Learn:
What dual plane implants actually are.
Will going up 5 cc's make any visible difference in your results?
The truth about teardrop implants.
Why putting implants in after a breast reduction is unpredictable.
Why finding a surgeon who evolves with technology is important.
We love receiving your questions. We will continue to do these types of videos so make sure to send us a DM on Instagram with your questions!
Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode.
Connect with Dr. Smita
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Connect with Dr. Amalfi
Website
Instagram
There's a lot of hesitation and judgment around labiaplasty, but we perform these procedures multiple times per week and see incredible transformations.
Many women are scared to talk to their doctors about this or get brushed off. We want to end the stigma by sharing the real reasons patients choose this procedure.
What You'll Learn:
Why patients often get brushed off by other healthcare providers who say "it's all normal".
What labiaplasty actually involves (it's simpler than you think). -Why this has one of the highest patient satisfaction rates in plastic surgery.
The difference between labia minora and majora concerns.
Why patients rarely need long-term follow-up after this procedure.
Why this procedure spans all age groups from post-pregnancy to post-menopause.
We know this is one of your favorite topics so drop your labiaplasty questions on the Lipstick and Lipo Instagram page we'll keep addressing your concerns!
Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode. Drop your labiaplasty questions in the comments we'll keep addressing your concerns!
Connect with Dr. Smita
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Connect with Dr. Amalfi
Website
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Some patients research everything about breast implants before their consult, while others walk in saying "I don't know if I need a lift or an implant."
Dr. Ashley Amalfi and Dr. Smita Ramanadham discuss what you need to know about size, shape, projection, and fill to make the best decision for your body.
What You'll Learn:
The difference between saline and silicone implants (and why 99% choose silicone).
What high profile, moderate profile, and low profile actually mean.
Why round implants can still give you a natural teardrop shape.
How to talk to your surgeon about what you want without knowing all the technical terms.
Why bringing photos helps more than memorizing implant specifications.
The new Motiva implants and how they're different. -Why board-certified plastic surgeons take specific measurements you can't do yourself.
Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode.
Connect with Dr. Smita
Website
Instagram
Connect with Dr. Amalfi
Website
Instagram
Filler gets a lot of attention and not always for the right reasons. Dr. Ashley Amalfi and Dr. Smita Ramanadham, who actually use filler themselves, debunk the biggest myths, explain why you only notice the bad ones, and reveal what good filler should actually look like (hint: you shouldn't be able to tell).
What You'll Learn:
Why you're only scared of filler because you notice the bad ones.
The truth about filler "migration" (spoiler: it doesn't move).
How to avoid duck lips and what causes them.
Why fillers don't actually "lift" despite what companies teach.
What pillow face really is and how to avoid it.
The importance of going to board-certified professionals.
How both doctors use filler themselves for natural results.
Subscribe to Lipstick and Lipo on Apple Podcasts, Spotify, or YouTube so you never miss an episode. Drop your filler questions on our Instagram page we'll answer them in a future episode!
Connect with Dr. Smita
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Connect with Dr. Amalfi
Website
Instagram
"Aging gracefully" - you hear it every day, but what does it actually mean?
We explain why doing nothing isn't graceful aging, and share the timeline of what you should be doing in your 20s, 30s, 40s, and beyond to look your best at every age.
What You'll Learn:
Why "aging gracefully" doesn't mean avoiding all procedures or treatments.
The decade-by-decade breakdown of what to focus on (20s through 50s+).
When to start retinol, Botox, fillers, and surgical procedures.
Why medical-grade skincare isn't a scam and the science behind it.
How to address aging without looking overdone or unnatural.
The dental hygiene analogy for skincare maintenance that changes everything.
Send us a message on Instagram and let us know what's been your aging game-changer so far?
Connect with Dr. Smita
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Connect with Dr. Amalfi
Website
Instagram
Board-certified plastic surgeon Dr. Smita Ramanadham shares the inside story of how she became the only plastic surgeons on IT Cosmetics' medical advisory board.
Discover why L'Oreal's acquisition changed everything and how this collaboration is revolutionizing makeup with clinical-grade skincare benefits.
What You'll Learn:
• How a chance connection led to an exclusive role advising a major cosmetics brand.
• Why skincare should be the foundation of any beauty routine, regardless of budget.
• The science behind makeup products that actually benefit your skin.
• How to build an effective skincare regimen that works (even if you struggled with acne into your 30s).
• What makes IT Cosmetics different from other makeup brands on the market.
Subscribe to Lipstick and Lipo on Apple Podcasts or Spotify or Youtube and hit the notification bell so you never miss an episode.
Connect with Dr. Smita
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Instagram
Connect with Dr. Amalfi
Website
Instagram
From Lindsay Lohan's stunning transformation to the rise of "ponytail facelifts," celebrities are getting surgical work done younger than ever.
Board-certified plastic surgeons break down the truth behind these trendy procedures and reveal the smart way to age gracefully without looking like a different person.
What You'll Learn:
Why marketing terms like "ponytail facelift" can be misleading about real surgical risks
The only board certification that matters when choosing a plastic surgeon.
What "tweakments" are and when to start them (hint: it's earlier than you think).
How to build a foundation with Botox, fillers, and skincare in your 20s and 30s.
Why consistency with the right doctor beats dramatic one-time procedures.
What NOT to put in your face (looking at you, non-dissolvable threads).
Don't miss any expert plastic surgery insights! Subscribe to Lipstick and Lipo on Apple Podcasts or Spotify and hit the notification bell so you never miss an episode.
Connect with Dr. Smita:
Website
Instagram
Connect with Dr. Amalfi:
Website
Instagram
Menopause doesn't mean throwing in the towel! Dr. Smita and Dr. Ashley Amalfi reveal why the "menopause makeover" is becoming the new mommy makeover, helping women reclaim confidence when hormones wreak havoc on their bodies.
Discover why it's never too late to feel like yourself again.
What You'll Learn
[00:36] - What is a "menopause makeover" and why celebrities are talking about it.
[01:38] - The frustrating reality: Why healthy lifestyles suddenly stop working during menopause.
[02:57] - How hormonal changes affect your entire body beyond just hot flashes.
[03:21] - Skin changes, wrinkles, and unexpected breakouts during menopause.
[04:19] - Head-to-toe body changes: New problem areas and fat accumulation patterns.
[05:43] - You're never too old: Why women in their 50s and 60s deserve plastic surgery.
[06:57] - The "rite of passage" mentality and life changes driving menopause makeovers.
[07:38] - Why today's 50 and 60-year-olds aren't your grandmother's generation.
[08:13] - It's never too late: Finding the right time for your transformation.
Share Your Story! We want to hear from you comment and tell us at what age you got your plastic surgery! Your story could be empowering for other women who think they're "getting to the game too late." No matter your age, if it bothers you and you want to make a change, that's the right time for you.
Connect with Dr. Smita
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Kristin Cavallari’s open chat about her implant revision sparks a bigger conversation about what’s really normal when it comes to breast surgery maintenance?
Dr. Ashley Amalfi and Dr. Smita discuss everything from silent ruptures and upsizing to why revisions are just part of the journey. Whether you're fresh out of surgery or 15 years in, this episode gives you the facts with zero fear.
Connect with Dr. Smita
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Instagram
Everything you need to know about compression garments after liposuction why they matter, how long to wear them, and how to choose the right one.
What You’ll Learn in This Episode:
Why compression is crucial after liposuction and tummy tucks.
How long you should wear a compression garment.
Tips for choosing the right compression garment.
Common misconceptions and advice on garment fit.
How compression affects swelling and healing.
Do you love what you’re learning?Subscribe to Lipstick and Lipo and leave a review on Apple Podcasts it helps more people find our show!
Connect with Dr. Smita
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Connect with Dr. Amalfi
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Instagram
When Vogue comes calling… you answer!
In this episode, Dr. Amalfi shares the story behind her recent Vogue feature from the surprise phone call to how the article captured what she truly loves about being a plastic surgeon.
But this conversation isn’t just about the press.
It’s about the deeper mission behind their work: helping women feel confident in their own skin.
We’re talking about:
-Why confidence is at the heart of plastic surgery.
-What media gets wrong (and right) about aesthetic medicine.
-How real results can transform someone’s life far beyond the physical.
-The difference between being vain and feeling empowered.
-Why working with a board-certified plastic surgeon matters.
If you’ve ever wondered what it’s really like behind the scenes in plastic surgery this one’s for you.
Connect with Dr. Smita
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More patients are asking for smaller implants and it’s not just a trend. We’re breaking down why size isn’t everything and what your options really are.
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Discover how celebrity secrecy creates impossible beauty goals, and why Kris Jenner's openness about plastic surgery is finally empowering women to embrace their own choices!
On this episode of Lipstick and Lipo, Dr. Smita and Dr. Ashley Amalfi dive into the crucial conversation around celebrity plastic surgery transparency, using Kris Jenner's recent journey as a prime example.
They explore why it's so important for public figures to be honest about their procedures, and how this openness can empower women to feel confident and guilt-free about their own choices. No more unrealistic expectations – just genuine insights about feeling your best!
Highlights:
Kris Jenner's transparency and its impact on the industry.
The shift from Photoshopped images to a new era of honesty.
Why celebrity transparency is crucial for women comparing their bodies.
Setting realistic expectations and the importance of safe interventions.
How social media replaces magazines in shaping body image.
The empowering nature of being honest about plastic surgery.
Why going to board-certified plastic surgeons matters.
The reality of multiple procedures and long-term investment.
Plastic surgery as a lifelong relationship and ongoing care.
Love this conversation? Hit subscribe and leave us a review! What are YOUR thoughts on celebrity transparency?
Connect with Dr. Smita
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If you can tell someone had work done… that’s usually the first red flag.
Great plastic surgery should enhance your appearance not completely change it.
And the biggest takeaway?
Always go to a board certified plastic surgeon who knows how to create results that are balanced, personalized, and actually beautiful.
Connect with Dr. Smita:
Website - https://www.drsmita.com/
Instagram - https://www.instagram.com/thedrsmita/
Connect with Dr. Amalfi:
Website - https://www.quatela.com/about/our-surgeons/dr-ashley-n-amalfi/
Instagram - https://www.instagram.com/drashleyamalfi/
Kylie Jenner just broke the internet again. But this time, it’s not about makeup or fashion. It’s her breast implants, and the candid honesty behind them is changing the game.
In this episode, Dr. Amalfi and Dr. Smita break down Kylie Jenner’s recent announcement about her breast implants and what it means for real women considering the procedure.
They talk through why implant sizes look different on every body, decode confusing terms like “part under the muscle,” and highlight how celeb transparency is pushing the industry forward.
Highlights:
Kylie’s implant details and why they matter.
The truth behind “half under the muscle”.
How sizing is about proportion, not just CCs.
Submuscular vs. subglandular: what’s best for your body.
Why your inspo pics help but don’t define your result.
Tag what you have and what you’ve had done whether it’s breast implants or another procedure. Share your story and give your surgeon some love if you’ve had a great experience.
And don’t forget to follow Lipstick and Lipo on YouTube, Spotify, and Apple Podcasts to stay up to date with the latest episodes.
Connect with Dr. Smita
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Connect with Dr. Amalfi
Website
Instagram
We hear it all the time “scarless surgery.” But is that even possible? In this episode, we’re breaking down the truth about scars, healing, and what plastic surgeons can (and can’t) promise.
We're getting into:
Why “scarless surgery” is a myth and what’s actually possible.
The truth about how scars heal (and why genetics matter).
How to set realistic expectations and get the best possible result.
Connect with Dr. Smit
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Connect with Dr. Amalfi
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Are you debating a lift or breast implant.
You’re not alone and we hear this question all the time.
In this episode, we’re talking through what a lift can (and can’t) do when it comes to perkiness, shape, and that upper fullness so many patients ask for.
If you’re wondering whether a lift alone is enough, this one’s for you.
We’re getting into:
The difference between lifting and adding volume.
Why upper fullness often requires an implant.
What results to expect with a lift alone.
How we help patients choose what’s right for them.
Whether you're just starting your research or already talking to a surgeon, this episode will give you clarity.
Connect with Dr. Smita
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Connect with Dr. Amalfi
Website
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Thinking about a breast enhancement but unsure which option is right for you? This week, we’re weighing the pros and cons of breast implants vs. fat grafting and sharing the kind of perspective you don’t always hear during a consult.
If you’re curious about the differences or wondering which might align better with your goals, this convo will help you feel more confident as you navigate your options.
Connect with Dr. Smita:
Website https://www.drsmita.com/
Instagram https://www.instagram.com/thedrsmita/
Connect with Dr. Amalfi:
Website - https://www.quatela.com/about/our-surgeons/dr-ashley-n-amalfi/
Instagram - https://www.instagram.com/drashleyamalfi/
What do Meghan Trainor and FDA-approved Motiva implants have in common? They're part of a bigger shift in celebrity aesthetics: natural is in. We’re talking subtle enhancements, trending implants, and why “looking done” is officially out.