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PODCAST

Lipstick & Lipo: Your Unfiltered Guide to Plastic Surgery

Dr. Smita Ramanadham and Dr. Ashley Amalfi

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,

health & fitness medicine

All Episodes

7:53

The DNA of a Doctor | Dr. Smita Ramanadham's journey...

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/04/16

Big news - Dr. Smita is now a published author. Her book "The DNA of a Doctor: Upbringing Culture and Unbridled Ambition Curates Achievement" is available now on Amazon and wherever books are sold.This episode is different from our usual content. Dr. Amalfi interviews Dr. Smita about her journey writing this book, what inspired her to share her story, and why she felt it was important to be vulnerable about the challenges of being a female plastic surgeon in a male-dominated field. From imposter

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6:46

Traveling for plastic surgery - What you need to know

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/04/09

Traveling for plastic surgery can be tempting, especially when you see deals that seem too good to pass up. But there are unique risks and considerations you need to understand before booking that flight.From aftercare access to safety standards to what happens if something goes wrong, we're discussing the reality of traveling for cosmetic procedures. Whether you're considering going out of state or out of the country, this episode gives you the questions to ask and the red flags to watch

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7:00

Breast lift Q&A

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/04/02

Over the past few months we have gotten several questions about breast lifts.In this week's episode we will address three of the major questions: Will my results last? If I'm doing a lift will I need an implant? When would I actually need an implant? If you're considering a breast lift or wondering whether you need an implant, this episode gives you the framework to have better conversations with your surgeon. And if you're in Rochester, NY, or the NY/NJ metro area, we would love to assist you

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9:47

Labiaplasty questions answered - Recovery, swelling,...

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/03/26

You asked, we're answering. After our recent labiaplasty episodes, we received questions about recovery, swelling, and what to expect in the healing process. We're addressing the most common concerns patients have after surgery.From asymmetric swelling in the first week to when bleeding should stop, we're giving you real answers about what's normal and what's not. If you're considering labiaplasty or recently had the procedure, this episode answers the questions you might be too nervous to ask

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5:25

Is there an ideal weight for breast augmentation?

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/03/19

Is there an ideal weight for breast augmentation?While this isn't discussed as much for body contouring procedures, it absolutely matters for your results and safety. Most breast augmentation patients naturally tend to be at a stable weight already, but understanding why timing matters can help you get the best possible outcome. We're discussing why chasing a moving target with weight changes can affect your results, how BMI impacts surgical complications, and why getting to a healthy, stable

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8:16

Anesthesia anxiety and plastic surgery - How safe is...

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/03/12

Anesthesia anxiety is one of the most common reasons people hesitate to move forward with plastic surgery. The fear is real, but the reality is very different from what you might imagine. We're addressing the biggest concerns about going under anesthesia and explaining why modern plastic surgery in accredited facilities is remarkably safe.From what actually happens when you're under anesthesia to the credentials you should look for in your surgical team, we're breaking down everything you need to

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11:08

Plastic Surgeons vs Cosmetic Surgeons

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/03/05

Not all surgeons are the same, and the difference can impact your safety. The terms "plastic surgeon" and "cosmetic surgeon" sound similar, but they represent vastly different levels of training and expertise. One requires nearly a decade of specialized surgical training and rigorous board certification. The other might be a doctor who took a short course.We're explaining what board certification actually means, why it matters for your safety, and the questions you need to ask before choosing a

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7:37

Martha Stewart's Approach to Aging

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/02/26

At 84, Martha Stewart doesn't look her age and she's not shy about saying that's intentional. She's been open about using some treatments while maintaining privacy about the specifics. Her incredibly active lifestyle and commitment to health are just as much a part of the equation as any procedure.We're discussing what makes her different from the dramatic transformations we usually see in celebrity culture. Her philosophy combines healthy living with strategic treatments, creating results that

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9:02

When Do Breast Implants Need to Be Replaced?

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/02/19

This is probably the most common question we get asked: How often do breast implants need to be replaced?A lot of advice says 10-15 years, but that's not actually true. There's no expiration date on breast implants. We explain why the timeline is different for everyone, what signs to watch for that indicate replacement might be needed, and how to think about imaging for both your implants and your breast tissue. We also discuss the important distinction between replacing implants because they

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8:59

More men are getting plastic surgery - We discuss why.

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/02/12

Male cosmetic procedures are booming, especially in two specific industries: tech and finance.We're seeing a surge of men in their 50s and 60s feeling pressure to look younger as 20 and 30-year-old workers enter their offices. From Botox and skincare to facelifts and body contouring, men are embracing procedures they once avoided. We discuss why this demographic shift is happening now, how we approach male procedures differently to maintain masculinity, and why many male patients start their

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11:58

Simone Biles breast augmentation

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/02/05

Simone Biles has been incredibly transparent about her breast augmentation, sharing details about her surgery and her board certified female surgeon.We applaud her openness and her choice of a qualified surgeon. However, as board certified plastic surgeons who specialize in breast surgery, we have serious concerns about one specific aspect of her procedure: the placement of her implants under the muscle. For an elite athlete with the strongest pec muscles you can imagine, cutting that muscle and

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9:53

Plastic surgeons react to viral beauty trends on TikTok

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/01/29

Viral beauty trends are everywhere on TikTok - from lip flips to buccal fat removal to slugging and face taping. We're discussing why chasing these trends is usually a waste of your time and money.As board certified plastic surgeons, we discuss the good and bad of social media's impact on plastic surgery, how to spot BS advice from unqualified "experts," and why reading recovery horror stories online isn't giving you the full picture. If something seems too cheap, too easy, or too good to be true

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9:59

Andy Cohen admits to Botox: Should celebrities be...

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/01/22

Andy Cohen looked noticeably different during his New Year's special with Anderson Cooper on CNN, sparking rumors about a facelift. He came out and addressed what he actually had done.He addressed the speculation, and we're looking at his before and after photos. We'll never truly know exactly what he's had done since we're not his doctors, but we discuss what weight loss, professional lighting, and makeup can do tools most people don't have access to. That's part of the challenge:

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6:44

Board certified plastic surgeons react to Kendall...

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2026/01/15

Kendall Jenner recently spoke out on a podcast, stating she's never had plastic surgery only baby Botox.We're analyzing her before and after photos to educate our audience. When celebrities with massive platforms lie about their procedures, young women develop false expectations about what's naturally achievable. The transformation goes beyond what "baby Botox" alone can achieve. She has great genetics and looked beautiful before, and she looks gorgeous now but if she was honest about the work, it

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9:13

The New Breast Implants that Feel Natural

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2025/12/25

About a year ago, the FDA approved the Motiva implant and after using them in our practices, we're seeing why patients love them.These implants have been proven in Europe and South America for over a decade, and the technology is a real step forward. The gel and shell improvements mean they move and feel more like natural breast tissue than any previous generation. We discuss what's actually different and why this matters. What You'll Learn: Why the Motiva implants are a game-changer for natural

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7:03

Medical Spas: What to ask before you go

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2025/12/18

Medical spas are popping up on every corner, and while many are reputable and well-run, not all are created equal.In this episode, we're giving you a reality check about what "medical" actually means when it comes to med spas. We discuss why any doctor can be a medical director (even if they have zero aesthetic training), the critical questions you need to ask before getting injected, and the red flags to watch out for. From supervision standards to pricing, we discuss how to find a truly

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7:28

The Undetectable Era in Plastic Surgery | Why Subtle...

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2025/12/11

We're living in the undetectable era where plastic surgery changes are subtle and hard to notice and that's exactly how it should be! After years of preaching natural results, the world is finally on board with our aesthetic. We discuss why good plastic surgery should look like you were born that way, how overdone procedures age poorly, and why less is always more. From BBLs to breast augmentations to facelifts, we explain how staying natural minimizes long-term complications and why plastic

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8:10

Breast Preservation: The Future of Breast Augmentation

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2025/12/04

We're diving into one of the most exciting innovations in breast surgery breast preservation!This revolutionary new technique for breast augmentation is changing everything by preserving your natural anatomy while delivering beautiful results with minimal downtime. Instead of cutting through tissue, this method uses a specialized device to gently stretch a pocket for the implant. We explain how it works, who it's for, why recovery is so much faster, and why you might not even need general

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12:49

Understanding Facial Aging & Filler Placement | A...

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2025/11/27

Devil Wears Prada fans are buzzing about Emily Blunt's recent red carpet appearances while filming the sequel.She looks different, and it's the perfect opportunity to discuss facial aging and proper filler placement. As huge fans of both Emily and the original movie, we're using her transformation to teach you about facial contours and how we age from the triangle-to-square pattern to why treating the lower face makes everything worse. Understanding facial anatomy is essential for natural results,

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10:23

Recovery Q&A Part 3: Compression, Scar Tissue & Sedation

Lipstick & Lipo: Your Unfiltered Guide to Plastic... ·

2025/11/20

We're wrapping up our Recovery Q&A series with Part 3!In this episode, we answer three important questions: How does compression actually make fluid go away? What should you do about scar tissue forming along your incision? And is it safe to use conscious sedation with Valium for in-office procedures? We talk through the science behind compression garments, the normal scar healing process, and why a little medication can make your experience so much better. What You'll Learn: -How compression

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