Reflections on 40 Years in Plastic Surgery and Service with Dr. John Smoot - January 6, 2026 -
Nearly 40 years, thousands of patients, and a career that started unexpectedly in a National Guard medical unit—Dr. John Smoot’s story is full of the wisdom, wins, and lessons you only get from a lifetime in plastic surgery.Dr. Smoot looks back on how the field has transformed since he first scrubbed in, from evolving techniques to the rise of natural, proportionate results and the growing acceptance of cosmetic procedures. He shares what’s surprised him, what’s stayed the same, and what he believes is coming next as less invasive treatments continue to take over.
Hear why he’s always chased improvement, how he balances artistry with science, and the traits that he believes every great surgeon has to develop.
Plus, he opens up about mentorship, the relationships that shaped his career, and the legacy he hopes to leave as he heads toward retirement.
Links
Meet San Diego plastic surgeon Dr. John Smoot https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-john-smoot/
Book a consultation with Dr. Smoot before he leaves https://b.link/john-smoot-md-facs
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
Contents of this video:
00:00 - Intro
01:00 - How it feels to be retiring as a plastic surgeon
01:35 - Biggest highlights of my career
02:30 - How the National Guard shaped my approach to surgery
03:50 - Serving others as a plastic surgeon
05:20 - How plastic surgery has changed since I started practicing
06:35 - Lessons learned in 40 years as a plastic surgeon
08:00 - Advice for plastic surgeons starting their career
08:40 - Combining artistry and science
09:20 - Focusing on advanced breast lift and breast revision techniques
11:00 - Grafts for breast surgery
12:00 - How my research shaped how I operate
12:25 - What separates a good plastic surgeon from a great one?
13:00 - Surgeries that still excite me
13:50 - Proportion and balance over dramatic change
15:10 - Patient stories that still move me today
15:58 - The legacy I hope to be remembered by
16:45 - Qualities I hope the next generation of plastic surgeons continues
17:30 - The advantages of working in a group practice
19:55 - Music in the OR
20:50 - What excites me about the future of plastic surgery
22:40 - The most rewarding part of my daily routine as a plastic surgeon
23:45 - How I plan to spend my time in retirement
25:05 - Summary of my career as a plastic surgeon
28:02 - Wrap-up and outro


