Cosmetic Surgery

More than half of people who travel abroad for cosmetic surgery end up needing additional medical care when they return home.
Monique and Hannah discuss the hidden risks of medical tourism, from missing post-operative care and limited follow-up to the financial fallout when complications happen back in the U.S.
They also talk about why social media is driving more people to consider surgery overseas, what most people underestimate about recovery, and why researching your surgeon, your facility, and your post-op plan matters just as much as the procedure itself.
When it comes to plastic surgery, the cheapest option can quickly become the most expensive.
Links
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/
American Society of Plastic Surgeons, Medical Tourism for Cosmetic Surgery High Risk of Complications, High Costs for Treatment https://www.plasticsurgery.org/news/press-releases/medical-tourism-for-cosmetic-surgery-high-risk-of-complications-high-costs-for-treatment
American Society of Plastic Surgeons, Will economic uncertainty drive more patients overseas for plastic surgery? What to consider and how to stretch your dollar back home https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home
The Guardian, NHS spending up to £19k a time treating people suffering after overseas surgery, research finds https://www.theguardian.com/society/2026/jan/13/nhs-spending-up-to-19k-a-time-treating-people-suffering-after-overseas-surgery-research-finds
PubMed Central, Costs Versus Complications: Public Perspectives on International Cosmetic Surgery Tourism https://pmc.ncbi.nlm.nih.gov/articles/PMC11298143/
UT Southwestern Medical Center, Risks to consider before getting plastic surgery abroad https://utswmed.org/medblog/plastic-surgery-medical-tourism/
Learn more about patient safety https://www.ljcsc.com/your-dream-starts-here/your-safety/
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 Is surgery abroad really cheaper?
00:57 How overseas surgical care differs from the US
01:59 Flying home too soon and lack of follow‑up
03:43 When “cheap” surgery ends up costing more
04:42 Real complication stats from medical tourism
07:17 Why revision after tourism is so difficult
08:43 Studies on why people still go abroad
12:22 Influencers glamorizing surgery vacations
13:45 Travel and “hidden” costs that erase savings
17:14 Why tummy tucks are especially risky overseas
19:14 Blood clots, long flights, and embolism risk
21:19 How stress and poor support slow healing
22:47 Missing lymphatic massage and aftercare abroad
23:45 Deaths and anesthesia concerns in tourism hubs
26:27 US surgeons treating tourism complications
30:35 Questions to ask before booking surgery overseas
Born with a cleft lip and over 20 surgeries later, she still hid behind lipstick, even from her fiancé. One lip blush session changed everything.
Learn more about Restorative Permanent Makeup https://www.restorativepmu.com/
Full podcast episode: https://youtu.be/JTowYwtXWKA
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