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Scalpel and Skin

Author: Dr.Algie LaBrasca & Mistica LaBrasca with BBNL Media

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Scalpel and Skin is a plastic surgery, skin health, and aesthetics podcast hosted by siblings Dr. Algie LaBrasca, a Board-Certified Plastic Surgeon, and Mistica LaBrasca, a cosmetic dermatology Physician Assistant.

With more than 30 years of combined experience, they bring honest, educational, and unfiltered conversations to the world of plastic surgery and cosmetic dermatology.

From Botox, fillers, lasers, and skincare to facelifts, med spas, patient safety, and the latest aesthetic trends, they break down what works, what doesn’t, what is worth the investment, and what is simply good marketing.

Whether you are researching your first treatment, comparing surgical and nonsurgical options, or trying to find a provider you can trust, Scalpel and Skin gives you the information and perspective you need to make smarter decisions about your face, skin, body, and long-term aesthetic goals.

14 Episodes
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What would you do with $10,000 to improve your face? And would your answer change at 35, 45, 55, or 65? In this episode of Scalpel & Skin, Dr. Algie LaBrasca, board-certified plastic surgeon, and his sister Mistica LaBrasca, cosmetic dermatology Physician Assistant, take on the $10,000 Face Challenge. They build treatment plans for four hypothetical patients at different ages and debate where the money should go for the biggest meaningful improvement. Should you spend it on Botox, filler,...
🎃 It's Halloween on Scalpel & Skin—and these horror stories are REAL. This episode, Dr. Algie LaBrasca and Mistica LaBrasca trade the usual aesthetic talk for the things that genuinely scare them as medical professionals. Expect frightening complications, questionable treatment requests, bizarre surgical stories, and plenty of sibling banter. Also, yes—one of them is dressed as a banana. 👻 In this Halloween special, we discuss: A serious facial infection following filler injections at a p...
Can non-surgical devices really lift your face—or are the results being oversold? In this episode of Scalpel and Skin, Dr. Algie LaBrasca and Mistica welcome Andrew Liscio, aesthetic medical professional, clinical educator, consultant, and host of the Aesthetically Speaking podcast, for an honest conversation about energy-based aesthetic treatments. They break down the difference between improving skin quality, creating a firmer appearance, and achieving the kind of lift that surgery can prov...
Is medical-grade skincare really worth the money, or is it just marketing? In this episode of Scalpel and Skin, Mistica is joined by Skin Lab esthetician and fan-favorite co-host Melissa Janoski to break down what medical-grade skincare means, how to think about product claims, and which skincare products may be worth prioritizing. They discuss vitamin C, retinol, ingredient formulations, clinical studies, and the difference between building a skincare routine around your goals versus buying ...
Are esthetician treatments actually worth it? Which facials and skin treatments are worth your money—and which ones aren't? In this special episode of Scalpel and Skin, Mistica Lebraska is joined by Melissa Janoski, the first official guest and co-host of the podcast. Melissa has worked alongside Mistica for years and brings 16 years of experience in the aesthetics industry to the conversation. Together, they break down traditional esthetician treatments and newer aesthetic procedures, ...
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