Cosmetic Surgery

Dr. Salazar returns to share how HD Lipo has evolved over the last five years and why realistic expectations are just as important as technology.
Learn about HD Lipo recovery timelines, the importance of compression, how long it takes to see results, and why choosing an experienced plastic surgeon is critical for outcomes that look natural.
From candidate selection to long-term maintenance, hear Dr. Salazar’s honest look at what HD lipo can and can’t do.
Links
Read more about San Diego plastic surgeon Dr. Hector Salazar-Reyes https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-hector-salazar-reyes/
Learn more about HD lipo https://www.ljcsc.com/procedures/cosmetic-surgery/body/hd-lipo-high-definition-liposculpture/
Listen to our previous episode, Plastic Surgery Doesn’t End When the Procedure is Over https://www.ljcsc.com/blog/podcast-plastic-surgery-doesnt-end-when-the-procedure-is-over/
Learn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, the 12x winner of the San Diego’s Best Union-Tribune Readers Poll, global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice, and the 2025 winner of Best Cosmetic Surgery Group in San Diego Magazine’s Best of San Diego Awards.
Join hostess Monique Ramsey as she takes you inside LJCSC, where dreams become real. Featuring the unique expertise of San Diego’s most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty.
La Jolla Cosmetic Surgery Centre is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.
To learn more, go to https://www.ljcsc.com/ or follow the team on Instagram https://www.instagram.com/ljcsc/
Watch the LJCSC Dream Team on YouTube https://www.youtube.com/@LaJollaCosmeticSurgeryCentre/
The La Jolla Cosmetic Surgery Podcast is a production of The Axis: https://www.theaxis.io/
Theme music: Busy People, SOOP
00:00 Intro
00:05 Why It’s Time to Revisit HD Liposuction
01:22 Dr. Salazar’s Training & How He Learned HD Lipo
02:32 Why He Uses Power-Assisted Liposuction (PAL) Instead of VASER
04:32 What Fascia Is (And Why It Matters for Your Abdomen)
08:03 Six-Pack Etching & Back Sculpting
10:09 A Patient’s Life-Changing Result
12:02 How HD Lipo Works
13:10 The Detailed Marking Process Before Surgery
14:00 Natural Results & Why Results Look “Cartoonish” at First
16:13 Swelling, Healing, and the Tightening Phase
17:41 Setting Expectations & Recovery Timeline
19:57 Sculpting the Chest & Pectoral Definition
21:06 Goals of High-Definition Liposuction
23:25 Do You Need Muscle Tone for HD Lipo?
24:35 Ideal Candidates for HD Liposuction
25:31 Who Should NOT Get HD Lipo
26:08 Weight Loss Before HD Lipo
27:13 The Artistic Side of Liposuction
29:19 Compression Garments & Recovery Rules
31:40 What Happens If You Gain Weight After HD Lipo?
33:09 How to Choose the Right Surgeon
36:35 Pre-Surgery Nerves & Trusting Your Surgeon
37:30 Outro
After explant surgery, patients report everything from joy and freedom to uncertainty and regret.
Dr. Dominika Swistun shares simple mental wellness tools that can help support you on your breast implant removal journey.
Full podcast episode: https://youtu.be/-svChjsKAUc
What if feeling depressed, foggy, or “not like yourself” isn’t just psychological?
Dr. Dominika Swistun explains how inflammation, sleep disruption, and immune activation may influence mood, motivation, and even your sense of identity.
Full podcast episode: https://youtu.be/-svChjsKAUc
What if the issue isn’t anxiety… or hormones… or stress?
What if it’s sleep?
Full podcast episode: https://youtu.be/-svChjsKAUc
Could implants be contributing to subtle sleep disruption for some women?
Clinical psychologist and sleep specialist Dr. Dominika Swistun explains how sleep stages work and why REM sleep is critical for memory, emotional regulation, and mental clarity.
Full podcast episode: https://youtu.be/-svChjsKAUc
Nobody wants the belly button that screams from down the beach, “That’s a tummy tuck.”
Dr. Salazar explains how the belly button is carefully preserved, reshaped, and reconstructed during his signature BellaButton tummy tuck and why small surgical details make a massive difference in whether your result looks natural or obvious.
Full podcast episode: https://youtu.be/VRKt6Qdi670
Meet San Diego plastic surgeon Dr. Hector Salazar-Reyes https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-hector-salazar-reyes/
Excited, anxious, or somewhere in between? Nurse Jocelyn explains what you'll experience at pre-op and how asking every question (yes, even that one) makes all the difference.
Full podcast episode: https://youtu.be/3KMBQNX9ZHc
Read more about OR Nurse Jocelyn https://www.ljcsc.com/about/meet-the-team/clinical-operating-room-team/jocelyn/
One in seven Americans plans to use a GLP-1 by 2026—and it’s already changing plastic surgery.
Monique talks with Janelle, COO of La Jolla Cosmetic Surgery Centre, about how GLP-1 medications are reshaping weight loss, surgical planning, and long-term results.
Janelle shares her personal experience using low-dose GLP-1s for maintenance, and why they can make weight management feel more sustainable rather than mentally exhausting.
They discuss why customization matters, how microdosing fits into real life, and what people often get wrong about side effects and stigma. Hear how weight loss ties into surgical outcomes and why physician-led programs make a difference.
Links
Read the full story discussed: Plastic Surgery Practice, 1 in 7 Americans Plan To Use GLP-1s in 2026, Survey Finds https://plasticsurgerypractice.com/treatment-solutions/innovations/industry-trends/1-7-americans-plan-use-glp-1s-2026-survey-finds/
Learn more about the Signature Skinny Shot https://www.ljcsc.com/procedures/cosmetic-surgery/body/prescription-weight-loss-programs/
Read our prescription weight loss program reviews https://www.ljcsc.com/reviews/procedures/prescription-weight-loss-programs-reviews/
Watch our silly office video of the Dream Team turning down Crumbl cookies thanks to the Skinny Shot https://www.instagram.com/reel/DTtvoVQCYOc/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==
Learn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, the 12x winner of the San Diego’s Best Union-Tribune Readers Poll, global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice, and the 2025 winner of Best Cosmetic Surgery Group in San Diego Magazine’s Best of San Diego Awards.
Join hostess Monique Ramsey as she takes you inside LJCSC, where dreams become real. Featuring the unique expertise of San Diego’s most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty.
La Jolla Cosmetic Surgery Centre is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.
To learn more, go to https://www.ljcsc.com/ or follow the team on Instagram https://www.instagram.com/ljcsc/
Watch the LJCSC Dream Team on YouTube https://www.youtube.com/@LaJollaCosmeticSurgeryCentre/
The La Jolla Cosmetic Surgery Podcast is a production of The Axis: https://www.theaxis.io/
Theme music: Busy People, SOOP
00:00 – Why Has Interest in GLP-1s Exploded?
01:33 – Janelle’s Personal Story: Why She Started Using GLP-1s
04:53 – Microdosing & “Training Wheels” for Weight Maintenance
07:02 – GLP-1s in Real Life: Cravings, Social Eating & Media Stigma
11:06 – How the Skinny Shot Program Ensures Safety & Custom Dosing
13:03 – Janelle’s Current Maintenance Routine (Low-Dose Strategy)
14:44 – What Surprised Her Most About Using GLP-1s?
16:40 – Health Benefits Beyond Weight Loss (Metabolism, Aging, Risk Reduction)
17:57 – How GLP-1s Changed Patient Care at the Surgery Center
20:19 – Filling the Gap: Helping Surgery Patients Lose 10–15 Pounds
22:24 – Microdosing & Social Acceptance of GLP-1s
23:22 – Most Requested Procedures After Weight Loss
25:00 – Biggest Misconceptions: Muscle Loss, Hair Loss & Safety
27:17 – Why Patients Choose a Doctor-Managed Program Over Online Options
29:14 – Custom Follow-Up: High-Touch vs. Independent Tracking
30:39 – Final Thoughts & How to Get Started with the Skinny Shot
Do women regret trying to cut corners with explant surgery?
Many women remove implants first, let everything settle, and then decide if they want more. Dr. Swistun explains why this approach helps patients avoid regret and unnecessary surgery.
Full podcast episode: https://youtu.be/bbXpqlInsu0
Meet San Diego explant surgeon Dr. Luke Swistun https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-luke-swistun/
Want fuller breasts, but don’t want implants?
La Jolla plastic surgeon Dr. Luke Swistun explains natural augmentation options that use your own tissue to improve shape, balance, and contour without committing to implant maintenance.
Full podcast episode: https://youtu.be/bbXpqlInsu0
Meet San Diego explant surgeon Dr. Luke Swistun https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-luke-swistun/
Taking implants out is one decision. What comes after is another.
La Jolla plastic surgeon Dr. Luke Swistun explains why explant surgery alone doesn’t always meet expectations and how he approaches shape without implants.
Full podcast episode: https://youtu.be/bbXpqlInsu0
Meet San Diego explant surgeon Dr. Luke Swistun https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-luke-swistun/