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Dr. G and Bri spill the tea on the worst plastic surgery trends of 2024 (good riddance) and predicting what we’ll see in 2025.
In this Christmas edition of All the B’s, Dr. G & Bri cover:
- Is trap tox really worth it for a slightly slimmer neck?
- SkinVive… like, why did we even bother?
- Should you even consider buccal fat removal if your cheeks aren’t chubby?
- Will the ballet body become the ultimate 2025 aesthetic?
- Donatella Versace’s glow-up—what is going on?!
- Are we saying “smaller is better” for boobs and booties in 2025?
- And… the problem no one’s talking about: under-eye filler
Trending stories:
Yahoo, Lindsay Lohan’s dad Michael says she’s ‘never had any plastic surgery’ amid speculation
Daily Mail, Lindsay Lohan flaunts smooth visage in new selfie after dad confirmed she HAS had cosmetic treatments
Complex, M.I.A. Says Jay-Z Told Her to Get Plastic Surgery When She Signed to Roc Nation: ‘I’m Not Insecure’
Daily Mail, Woman, 40, dies after undergoing liposuction in her own HOME
Daily Mail, Kim Kardashian divides fans with throwback snap: ‘This is proof you’ve never needed surgery’
Transcript
Dr. G (00:02):
You are listening to another episode of All the B’s with me, Dr. G and my scrub tech Bri. Okay. It’s our Christmas edition. Merry Christmas.
Bri (00:14):
Merry Christmas. Happy Kwanzaa. Feliz Navidad.
Dr. G (00:20):
Happy Hanukkah.
Bri (00:21):
Happy Hanukkah.
Dr. G (00:23):
Happy holidays.
Bri (00:24):
Happy holidays. If you don’t celebrate.
Dr. G (00:27):
Yeah. I mean you got to celebrate something.
Bri (00:29):
Absolutely.
Dr. G (00:30):
It’s the end of the year. It’s the end of 2024.
Bri (00:33):
2024 went by so fast.
Dr. G (00:35):
It kind of did. Yeah. And then because Thanksgiving was so late, the race to the end of the year has seemed even a little bit more accelerated. So today we are going to recap some of the best and worst trends of 2024 and maybe make some predictions of what’s going to be it in plastic surgery for 2025. But first, let’s look at some headlines.
Bri (01:01):
Let’s get us the Daily Mail.
Dr. G (01:04):
And let’s not do anything that involves, I don’t know, insurance. Those are not cheerful.
Bri (01:12):
I heard that got revoked.
Dr. G (01:15):
Yes. The anesthesia Anthem Blue Cross was going to put a time limit on the amount of general anesthesia you could get. That quickly got reversed.
Bri (01:27):
Yeah, I saw some great memes and it was like, oh, we need this eight hour lifesaving surgery. And they’re like, Blue Cross was like, you got two hours, then we’re out.
Dr. G (01:36):
Right. Then you’re on your own.
Bri (01:39):
Yeah.
Dr. G (01:40):
Anyway. Okay. Well, what’s our first story? Are we going to talk about Lindsay Lohan?
Bri (01:45):
Let’s do it.
Dr. G (01:46):
Okay.
Bri (01:46):
She looks amazing.
Dr. G (01:48):
She really does.
Bri (01:50):
And I know they say she hasn’t had plastic surgery. I just do not believe it. That nose is a clear tell all. I feel like she just looks so good. That can’t be all sober sobriety.
Dr. G (02:05):
Yeah. I mean, I think a lot of it is that she is healthier now. And I will say I was a little disappointed to realize that she was only 38 because she really looks good. But then I was good for 38? I guess so. But yeah, so she’s had some hard living and I think she just looks clear eyed and healthier overall. Well, I’m in a bunch of Facebook groups with other physicians and the dermatologist who took care of her said that she had the authority to say that she treated her but not the authority to say or the permission to say what her treatments were. And then there was a rumor that she had gone to Dubai for this not plastic surgery. The said cosmetic dermatologist has offices in Chicago and Dubai, so let’s just leave it at that. Also, I think the celebrities sometimes dance around the, I never had any plastic surgery, by considering anything non-invasive as plastic surgery. So they don’t think Botox or fillers are plastic surgery. They don’t think laser resurfacing or fat transfer. I don’t know. Their definition of plastic surgery is
Bri (03:28):
A Little different
Dr. G (03:28):
Very narrow.
Bri (03:31):
I mean, she doesn’t have a wrinkle on her face.
Dr. G (03:33):
She doesn’t have a pore. God bless her. She just looks really good. But I do think she had an upper blepharoplasty, so an upper eyelid lift. I would say she had something done to her nose, and I’m guessing if you can go to Dubai and get it all done. I mean, she also looks like she had I, she looks like she had a facelift, but.
Bri (04:00):
Yeah, she has to have something in there, whether it’s threads or something.
Dr. G (04:04):
Could be that. You could just do 8 million threads instead of a facelift. But yeah, she looks great.
Bri (04:12):
I love this picture. She just looks like she’s cracked out.
Dr. G (04:17):
The other one? Yeah, she looks a mess. Even her hair. So I mean, it’s just wild. You’re not going to admit to plastic surgery, but it’s telling me that your hair is all real.
Bri (04:29):
Right? I am all natural, by the way. No, she looks amazing.
Dr. G (04:35):
Also in these groups, there’s a speculation that she had really great cosmetic dentistry. So by adding veneers, that will push out her upper lip a little bit. So it’s going to take up a little space in her mouth. And so there are some things with dentistry you can do too that kind of help her face overall. So
Bri (04:55):
I had veneers done and I feel like it totally changed my appearance.
Dr. G (05:00):
It’s like when you have braces or when you’re wearing Invisalign, it adds a little to your skeletal frame, if you will, by just adds space. Yeah, she looks good. I mean all of these photos of her are filtered as well, but whatever. That’s fine. And she’s got great makeup on.
Bri (05:21):
I need whatever under eye laser she did.
Dr. G (05:24):
Yeah, her eyes look good.
Bri (05:25):
So good.
Dr. G (05:28):
But yeah, you could say you didn’t have plastic surgery and be doing PRP and exosomes and threads and Botox and fillers and multiple other things as well. I mean, she could have had a non-surgical rhinoplasty with filler, but I really do think her nose looks different.
Bri (05:45):
Yeah.
Dr. G (05:46):
She does look amazing. So good for her.
Bri (05:49):
Yeah, she looks phenomenal, but I don’t believe you Lindsay.
Dr. G (05:54):
Or Lindsay’s dad rather.
Bri (05:55):
Yeah. Or Lindsay’s dad.
Dr. G (05:57):
Okay. And then speaking of plastic surgery, there is an article where MIA says Jay-Z told her to get plastic surgery.
Bri (06:07):
I would just be so offended.
Dr. G (06:09):
I mean, of course you would be offended.
Bri (06:13):
Like how rude. I hope he paid for it.
Dr. G (06:16):
I don’t think she got any. I think her point is that she was like, forget it. But I can’t imagine being in the music industry and being shocked that someone’s
Bri (06:29):
Telling you to change your appearance?
Dr. G (06:31):
That you’re going to have to alter your appearance. I mean, come on.
Bri (06:36):
Yeah, and when you’re in that industry, I mean just human nature, you want to.
Dr. G (06:42):
Yeah, you’re being scrutinized by the public. Your image is half of everything. Right. It’s not just about your music per se. I could see her being anti doing it though, because she a little, she likes to pick controversial topics and stand for them. She was a little bit of an activist. She’s probably like whatever. But then I think she turned around and married some billionaire investor.
Bri (07:10):
I love that.
Dr. G (07:10):
Sort of reverse course.
Bri (07:13):
I love that for her.
Dr. G (07:14):
Power to the people and then marries up. So good for her. And then I think you wanted to talk about this story, the woman who died after, I’m trying not to laugh, but doing liposuction in her own home, home in all caps.
Bri (07:30):
I completely understand, but what the heck? Why? Who would think this is a good idea? First of all, it’s not sterile. Second of all, you’re performing liposuction. There’s medication involved. There was a nurse before that, didn’t she try and do liposuction after hours in her office and died?
Dr. G (07:53):
Yes, that is true.
Bri (07:54):
Was this girl, was she a nurse? Was she a doctor? Was she just a regular person, a makeup artist?
Dr. G (08:02):
I mean.
Bri (08:03):
Stop.
Dr. G (08:03):
Again, people get into this conversation about I’m a whatever type of surgeon and I am burning out, so I just want to do liposuction on the side at one of those places like Sono Bella or Airsculpt. And we’re like, it’s not that easy. And there are complications. I know she died from one of two things, which are the usual complications from liposuction when things go wrong or unqualified, people are doing it. So number one, the usual thing is lidocaine toxicity, which I mean that’s not always immediate, but it can be. And so it says she was convulsing while the surgery is taking place, which makes me think it was lidocaine toxicity. And there was again, that plastic surgeon in the Florida panhandle whose wife died after hours while she was getting liposuction. And that was also an anesthetic complication. I think you put that numbing medication in the fluid so that the patient’s comfortable, but if you don’t know what the max dose is of lidocaine, you can get lidocaine toxicity.
(09:17):
And one of the last things that happens as you start to get sick from the lidocaine is seizures. So that’s what it sounds like. And then the other problem when people who aren’t qualified do liposuction is to insert the cannula somewhere inside a cavity that it doesn’t belong. So in the abdomen or in the chest. So no longer are you above the muscle and under the skin you’re in a different plane. And again, that is just having the tactile sense, the anatomy knowledge, knowing a two millimeter cannula that you may or may not use to put the fluid in can get into the abdomen and come back out without you potentially, quote unquote, feeling it. And so that usually causes problems for patients if it goes unrecognized. So moral of this story, don’t do liposuction at your home or an unaccredited facility or with maybe somebody who isn’t a board certified plastic surgeon. Baseline.
Bri (10:22):
There also was that plastic surgeon who came over from a foreign country, I don’t remember where, and she didn’t want to get her medical license here, so she just started performing in her basement. Casual.
Dr. G (10:35):
These underground clinics are nuts to me.
Bri (10:40):
I didn’t realize how popular they were.
Dr. G (10:43):
I mean, people
Bri (10:43):
Should have got my lip filler there instead of Mexico.
Dr. G (10:46):
People like to go cheap, I guess. I don’t know. Very, very sad. Alright, do we want to discuss the Kim Kardashian divides fans with throwback snap? And it will be a good segue to worst trends. So she has repeatedly denied getting filler, which is just outrageous, honestly. And then she put a throwback snap with the caption Beverly connection photo booth in the nineties. So I’m sure, yeah, she looks 12 there, cuz she was. I mean she looks cute and young, but she doesn’t look anything like she looks now.
Bri (11:28):
Right.
Dr. G (11:28):
I don’t know.
Bri (11:31):
Whole new bitch.
Dr. G (11:33):
Build a bitch?
Bri (11:34):
Yeah, build a bitch. That’s going to be a 2025 trend. Putting it out there now. Yeah, I mean she’s beautiful. She’s had so much work done that it’s.
Dr. G (11:50):
Right. I know. And fans are divided about, she looks different, she’s aging, she’s the same person. I mean when the whole internet judges you, I mean you are there to be on the internet. So that’s her whole shtick, right, is attention. So it’s just if you’re going to be a thirst trap, then you’re going to have to take the heat, I guess.
Bri (12:15):
At least I feel like she’s been pretty open about, at least a lot of the lasers and Botox and fillers and stuff. I don’t think the whole family is very open about what cosmetic surgery they’ve had done.
Dr. G (12:28):
Yes. But they definitely try to maybe underplay what they’ve had done, but they look amazing. It’s so obvious. Yeah. And she looks great now in this photo. I feel like her look has toned down a little bit in the last few years. I mean,
Bri (12:50):
Because the BBL is out 2024,
Dr. G (12:53):
Yes.
Bri (12:53):
It’s all about that ozempic look.
Dr. G (12:55):
Right. And so their looks are over the top in they’re carefully curated photos shoots, but part of that is the fact that they’re photoshopped into oblivion. And part of it is that they’ve had a ton of work done. Props.
Bri (13:13):
Even Chloe’s belly button right there kind of looks like there’s a little under scar.
Dr. G (13:18):
Yes. Yeah. I mean it’s the Ash Ghavami belly button, honestly. I can tell you what surgeon that was.
Bri (13:30):
It’s like Kylie saying that she totally regrets all her plastic surgery. Do you though? Do you really? Because I don’t think you’re going to stop.
Dr. G (13:41):
No, they’re not going to stop.
Bri (13:42):
No.
Dr. G (13:42):
I mean, their abs look good.
Bri (13:44):
Yeah, they look amazing.
Dr. G (13:46):
Well, let’s just say goodbye to 2024. We’re going to say goodbye to a few things that we weren’t big fans of to start with. And number one is trap tox.
Bri (14:04):
I can’t even imagine how incredibly expensive it is to get that done, shove it in my face. I would much rather have that.
Dr. G (14:13):
I considered to do it, but I have my left trap is always really tight. Instead I just do acupuncture. But because there’s always a consequence of weakening a muscle, like a major muscle like that. And again, in my little small circle of plastic surgery friends, somebody’s always tried it. So some of my friends have tried it and then said what ended up happening is that they then had neck pain, because your trap is weak, your neck takes on the brunt of it, your other neck muscles. And so you just created a new problem. Which makes sense because it’s all about muscle imbalances. So just weakening one muscle when the underlying problem is not having strong other muscles or balanced, maybe that’s not going to help. Also though, trap tox is popular thanks to Kim Kardashian, although I think she photoshopped her trap in one of those photos where her neck looks slimmer and they called it Barbie Botox. So we’re just talking about the same thing over and over again. I think if you’re at the stage where you feel like your trapezius muscle is too big and is making it look like your neck isn’t slender enough, you are at a level of scrutiny that I don’t know. I’m glad you have that much time and money on your hands, but I really don’t think that people are like, can you do my eyes, around, my eyes, my elevens and my forehead, and I only have a budget for 30 units. I mean.
Bri (15:52):
Just put one unit everywhere.
Dr. G (15:54):
Yeah, no. So the average to treat all those three areas is 50 units. In order to treat the trap is another 50 units. Now we’re starting to get expensive. So if you really need your neck slim, I mean you must have an unlimited budget. Also, there is a max dose of Botox. It’s around a hundred to 200 units. I probably wouldn’t put more than that in at a time for your entire body. So at some point you have to choose what’s more important. And I’m going to go with the wrinkles, cuz I’m due for my Botox right now.
Bri (16:30):
I’d love if she just shoved it in my face. I’m going to be frozen and beautiful.
Dr. G (16:34):
That’s right. I know.
Bri (16:36):
But also who’s really looking at your traps? If you’re that concerned in a photo, Photoshop, Photoshop, baby, just make ’em smaller. But I’ve never gone out and looked at some, a girl’s traps.
Dr. G (16:47):
Yes. I think that’s part of the social media problem is that you’re scrutinizing photos of people where maybe if you looked at a photo and you said, oh, your traps are kind of big. I don’t know. But you would have to spend minutes staring at the photo to get to that point. Whereas in real life, people are moving. It’s 4D. You’re going to look at their face, maybe their hair. There’s multiple other, their outfit, no one’s looking at your traps, period.
Bri (17:20):
I’ll look at 10 other things, your smile lines, before I get to your traps, your toes,
Dr. G (17:25):
Your toes.
Bri (17:26):
Your knees. So I do have some little alien baby faces in my knees and you pull up a photo, I’m going to have to give you one just so you can see. There’s a whole human face in my knee. It is a huge insecurity. And I will blur my kneecaps in my photos. You’ve seen it.
Dr. G (17:48):
I have seen it.
Bri (17:49):
You know it’s bad. You can’t unsee it.
Dr. G (17:52):
Again. No one else is looking at your knees, Bri, no one.
Bri (17:55):
You are now that you noticed it, but, exactly. Knees before traps.
Dr. G (18:01):
I mean, if we could come up with a good solution for wrinkling above the knees, I would be all for it. That would be a moneymaker. I mean there are a couple of ways to address it. I’ve used dilute radiesse. We’ve done radio frequency microneedling. People have tried direct excision of that area. That’s usually a fail because you get this weird scar over your knee and in a thigh lift you get a little bit of lift, but the incision is as far away from the knee as possible. So in that direction it’s not as helpful. So for the average person who just doesn’t like the little bit of wrinkling over their knees, it’s pretty tough to make that look better. That’s what we need. People have tried threads. I mean, you’re just fighting gravity.
Bri (18:48):
Oh interesting.
Dr. G (18:50):
No solution yet. So maybe that should be a goal for 2025. Solve the knee problem.
Bri (18:58):
The baby knee.
Dr. G (18:58):
Stop worrying about your traps.
Bri (19:02):
Amen.
Dr. G (19:03):
Okay. The other worst trend, I’ll validate this, was the SkinVive. Although there are people who like it. Do you remember when we
Bri (19:12):
Yeah, I remember there being zero difference.
Dr. G (19:18):
So Allergan, an Abbvie company, Allergan introduced a new filler this year and it’s called SkinVive. It’s a very,
Bri (19:29):
Is it an actual filler?
Dr. G (19:32):
It is. It’s made of hyaluronic acid, but it’s not supposed to add volume. It’s supposed to go in your dermis and then give you a, it was supposed to be very expensive facial. So then putting the hyaluronic acid by injecting it was going to then hydrate your skin from the dermis.
Bri (19:51):
Drink some water.
Dr. G (19:55):
It really was underwhelming. And I think the argument as that it’s ruining her face is, I mean, that’s not it.
Bri (20:09):
Definitely not the SkinVive
Dr. G (20:12):
So the problem, ironically, the problem,
Bri (20:16):
It’s the drugs Lisa, just kidding.
Dr. G (20:18):
The problem with SkinVive is that I feel like it doesn’t do anything. It doesn’t change the shape of your face. It doesn’t change the volume. It just gives you a healthy glow, which you can get also from a facial or a peel of some sort. At any rate, when you have to scrutinize to see if there’s any visible change in the before and afters, even on the promotional material that is provided by the company that makes it, then probably not convince somebody to spend $600 to do that. Unless you’re Lisa Rinna. I guess
Bri (20:54):
If you had all the money, I would definitely try it.
Dr. G (20:58):
Or got it for free like I did. So we tried it in our office. I tried it. And then Jordan.
Bri (21:05):
I wasn’t offered it.
Dr. G (21:05):
I feel like you were still battling some acne, but Jordan tried it.
Bri (21:14):
Yes. Did she see a difference though?
Dr. G (21:16):
No. So we had two different skin types, two different ages try it. It’s a bunch of tiny little injections and you can’t dissolve it.
Bri (21:29):
So many pokes. There was so many pokes for such a lack of result.
Dr. G (21:35):
Right. Luckily we could dissolve it today. I mean there’s nothing about her face that would’ve changed anything. So I’m guessing she didn’t do SkinVive. I don’t know, this all smells fishy. But I will say that it wasn’t, I’ve seen one patient that got it done elsewhere because her friend also works for the company that her skin actually did look noticeably better. She was a breast patient of mine, and I was like, oh, your skin’s looking good. And she’s like, oh, I did SkinVive. And I said, oh, you’re the first person I’ve seen who’s looked different after having it done. So she was fair skinned, blue-eyed, a little older, younger than Lisa and kind of has that dehydrated skin that can happen. And so I think in her it was a win. But if you can’t predict who’s going to look better after doing it and you’re charging people $600, I would say, not bringing that in my office. Those photos are like wah, wah. But before she looks fine.
Bri (22:43):
Looks good, yeah.
Dr. G (22:45):
Anyway, there are multiple other things you can waste your money on. So I feel like this is number two. And don’t waste your money on trap tox or SkinVive, sorry. All right, worst trend of 2024 buccal fat removal, which you tried to get me to do to you.
Bri (23:01):
I begged her for a year. A year.
Dr. G (23:03):
Right. You’re welcome.
Bri (23:04):
I was like, yeah. And now I’m really glad I just did masseter Botox. It solved all my problems. I was like, just do it. You’re like, no, you’re going to look gauntly. And I was like, I want to look unwell. I want slim face.
Dr. G (23:19):
It just doesn’t age well. It really has to be the right patient, someone who has very, very chubby cheeks and you are not that patient.
Bri (23:31):
Well, thank you.
Dr. G (23:33):
I mean, I just think that when you come back has that super round face and it did benefit her, even though it’s going to change the shape of her face.
Bri (23:49):
I think that looks good.
Dr. G (23:51):
Yes. But she is the ideal face to do that. Somebody already has a normal face, there, Bella Hadid just looks insane. But she’s a model. So that’s the look they’re going for. That’s not going to age well. Somebody is going to be putting fat in there for her. And I feel like Demi Moore had that weird look as well, but I don’t know who else they talk about on this.
Bri (24:17):
Yeah, that does not.
Dr. G (24:19):
Yeah,
Bri (24:20):
Her jawline.
Dr. G (24:22):
Oh, right there she needs Masseter Botox to the rescue. So you can see how her cheek is sunken in and then her jawline is sticking out. I don’t know what happened there, but I hope nobody put filler in her jawline because she already had a lovely jawline. But it could just be that imbalance now because the buccal fat is gone and oof. And now her masseters are showing which are your chewing muscles. And then Anya Taylor just looks nuts.
Bri (24:56):
Yeah, I don’t know what look they’re going for.
Dr. G (24:56):
She looks like an alien.
Bri (24:58):
Yeah. I mean she’s 27 now. So when she’s 50, is she going to look,
Dr. G (25:05):
I don’t know if Zoe Kravitz had it done or just has 2% body fat to be honest. But it does in some of these girls it makes their masser muscles look even more pronounced.
Bri (25:16):
Crazy.
Dr. G (25:17):
And you’re right, if you could just treat the masseters. Uh, there’s Demi Moore. Classic. They’ve unscrewed that since then to some degree. She looks better now.
Bri (25:33):
She looks crazy.
Dr. G (25:36):
Who is that?
Bri (25:37):
She’s from The Boys. Have you seen that show?
Dr. G (25:40):
No, I haven’t watched it.
Bri (25:42):
You don’t want to watch it? It’s rough.
Dr. G (25:44):
I heard it wasn’t that good, but yeah, she also looks crazy.
Bri (25:47):
She looks like she said an eye lift or a fox eye lift.
Dr. G (25:50):
Yeah, don’t mess with it.
Bri (25:57):
She doesn’t really look too much like she had it done.
Dr. G (26:00):
Yeah, I don’t think Gaga had it done. She’s a master at makeup, to be honest. So, I would say overwhelmingly, so far we’ve seen Chrissy Teigan pull it off and maybe Bella Hadid just because it’s her job to look gaunt. But everybody else that just ages you and it’s not going to age well. And it just makes your masseter muscles, which are the chewing muscles at the back of your jaw, look more pronounced. And you can slim your face with some Botox that’s reversible, which is always nice. So just a little bit of Botox in the masseter muscles, and over time the muscle will slim and then your face looks slimmer. Also, if you grind your teeth at night or stress by clenching your jaw, it helps with that as well. I have some patients that come in for that reason. It can prematurely age you as well if you’re prone to have some jowling because you’re losing volume now in your face. But it’s pretty subtle. It’s not like your muscle’s just getting a little bit smaller. It’s not dramatic, and it takes some time. So you have to do the masseter Botox over a few series of treatments, three to six months apart, and then you’ll see some changes. And these people, these bitches aren’t patient.
Bri (27:24):
No, but you have to have some facial balancing here.
Dr. G (27:29):
I think that is key. The facial balancing is important and you can’t just focus on one area and then just come in and do that. So yeah, it just makes you look drawn and gaunt, which is they’re going to be putting fat back in there in five years when that’s the chipmunk cheeks are the trend.
Bri (27:50):
I know. Do everyone a favor and get your Botox.
Dr. G (27:53):
Yeah. Stick with something that’s a little more reversible. Okay. So our worst trends, trap tox, SkinVive, buccal fat removal. And then I think we could talk about maybe predictions for 2025?
Bri (28:10):
Predictions for 2025. I feel like coming from 2024, everyone is about, at first it was like the BBL, and I’m all for it, I got it done twice. But I feel like it’s now small boobies, tiny butt. It’s the ozempic look. Everybody’s going for the natural, teeny tiny, no, butt no boobs.
Dr. G (28:36):
Yeah, I think the ballet body trend, breast reductions, the onslaught of GLPs like tirzepatide and semaglutide has really changed what the aesthetic looks like for 2024. And I think it’s going to trend in 2025. So natural and smaller I think is our overarching theme.
Bri (29:04):
Everyone’s getting their implants out.
Dr. G (29:07):
Yes. Or smaller implants. Turning back time, or at least reversing things that made you look older is also trending. So I think let’s talk about that trend. We’ve talked about it a couple of times on this podcast with people who I think originally referred to it as the undetectable era, but with Christina Aguilera. But yes, the celebrities are turning back the clock, but not in a way that looks overdone. And I think Lindsay Lohan and what did we just, oh,
Bri (29:41):
Versace Donatella?
Dr. G (29:43):
Yeah, Donatella Versace was
Bri (29:45):
Super subtle, but.
Dr. G (29:46):
No, she looks amazing. I think that’s our number one reversal. And she has made the rounds recently because of that. She looks really good.
Bri (29:58):
So good.
Dr. G (30:00):
And she is somebody who has not been the poster child for plastic surgery in the past, I don’t know, couple decades, because her look was so overdone and so unnatural. And now she looks really great.
Bri (30:19):
Yeah.
Dr. G (30:20):
Honestly.
Bri (30:21):
She looks so good. What did one of your friends, Hey, it looks like she’s eating.
Dr. G (30:27):
Yeah, there were some photos of before and after and it showed her where she is so skinny. She’s still really skinny, but they’re like, I think she just started eating and washed her face because she does, she had that overdone black eyeliner look. That was kind of her signature look for a really long time. Yeah, it’s just awful.
Bri (30:56):
I don’t love and I don’t love the upper lip.
Dr. G (31:01):
Yeah, everything was very distorted. I’m going to say she’s another person who probably had a lip implant or two. Remember we talked about Cher’s, you can see it. So someone was brave enough to go in there and fish those things out. It looks like she had a lower one as well. You can see that lower fold under her lower lip. And then the upper lip is all smushed out and flattened. And now her mouth is much more youthful and natural looking. Part of her problem was that it just looked very unnatural. Her nose is noticeably smaller and more projecting. So I would say she likely had a rhinoplasty. And there is a niche of patients, again with a facelift, some people will do what we call aging rhinoplasty. So to correct some of the things that just happen as you age. And the number one thing you’ll see is the tip of your nose will droop down because the underlying skeleton is reabsorbing.
(32:04):
So your upper jaw is just getting smaller with time, which does a couple of things. It makes your upper lip longer and then sinks in your nose and your tip of your nose will droop. So it’s one thing to pull the skin on your face back or maybe address your neck, but if you haven’t addressed the lip lengthening or the drooping tip of your nose, then you can still look a little old. And I think in her before photo or whatever, 10 years earlier in 2014, she may have had a facelift at that point in time, but her upper lip is long and her nose is kind of flattened. And I think they’ve corrected that. That’s done a lot. Also hair. What happened?
Bri (32:51):
Geez.
Dr. G (32:51):
The white platinum hair wasn’t flattering or youthful. Her brows look better. She looks like she had a brow lift.
Bri (33:00):
So what I heard is I need a preventative rhinoplasty.
Dr. G (33:05):
I didn’t say preventative.
Bri (33:07):
I kind of heard that, but you may beg to differ. Yeah. And she doesn’t look like she’s had a facelift. I mean, she looks great. She doesn’t look like plastic surgery great.
Dr. G (33:20):
Yeah.
Bri (33:20):
Do you think she’s had any sort of,
Dr. G (33:22):
I don’t know. I think she’s already had a facelift and she probably didn’t redo it. She might’ve had some filler reversal and maybe some great nano fat or fat grafting. And then just honestly, a good old clueless type makeover, where they were like, Hey, ditch the smoky eye, go to more natural blonde, more subtle makeup. All of those things make her look great. So yeah, I feel like she is the number one remake over of 2024, launching us into 2025 by a lot.
Bri (34:03):
She’s making me rethink my very blonde hair.
Dr. G (34:08):
Yeah, you’re not 65 Bri. I think you’re fine.
Bri (34:13):
Yeah, she looks so much better.
Dr. G (34:16):
She doesn’t look too well in 2011.
Bri (34:17):
Or 2014. Also I think she might’ve been, I don’t know what her personal wellness was like, but I feel like some of these people are reaching a personal journey where they’re sober and clean and healthy eating, but eating and all of those things
(34:34):
It’s all about Pilates and green juice man, like Martha said.
Dr. G (34:38):
That’s right.
Bri (34:40):
And horseback riding. I bet she horseback rides.
Dr. G (34:46):
Yeah, I would say, yeah, she looks good. Although there’s a filter on that picture too, so please.
Bri (34:53):
Yeah, I saw that picture at first and I was like, oh my God, she looks amazing. And then as it kind of went on, I was like, oh, she looks great, but.
Dr. G (35:00):
She’s still human.
Bri (35:03):
Yeah, she’s still human and has wrinkles.
Dr. G (35:06):
Okay. How about who are other reversals that are looking better? I will say Demi Moore is somebody, oh, we have Paris Hilton in here as well, but
Bri (35:17):
Paris.
Dr. G (35:19):
Paris, looks like Paris, honestly. She looks the same.
Bri (35:23):
I know. She looks like she just had a kid, that’s it. She’s now mom Paris.
Dr. G (35:28):
And not in the tired way that one would expect.
Bri (35:31):
Yeah, it looks like she has a couple nannies, Paris.
Dr. G (35:35):
I would say this article is about plastic surgeons reacting to patients, or not patients, to celebrities that say they haven’t had any plastic surgery. I mean, again, I don’t know why they insist on saying they didn’t have any plastic surgery. It’s so dumb. Just say you did it. You took a quick trip to Dubai or somewhere in the Northeast. You’re not doing it in LA where the paparazzi are flagging you down.
Bri (36:04):
And I feel like 2024, that was a huge trend, was being honest about plastic surgery. Everyone was coming out in the open and being like, yeah, I’ve had this done. It’s much more widely accepted, so just get with it.
Dr. G (36:17):
Yeah, embrace it. I think maybe they’re holding onto it so that they can then launch their skincare brand. That has to be the only reason why. I mean, I’ve been working on this for years. So Demi Moore can’t escape pricey plastic surgery rumors, because she’s had plastic surgery. Let’s be real.
Bri (36:37):
Yeah.
Dr. G (36:38):
She had a terrible facelift. She had that weird buckle fat removal. And then the rumor mill just says that Steve Levine helped her out. So that’s another,
Bri (36:46):
Looks like her nose.
Dr. G (36:47):
Yeah, she clearly had a facelift. It’s not debatable. And I feel like her upper lip lift was overcorrected, but it is settling finally. And maybe they put fat back into where her buccal fat pad was. But yeah, she had a not so great facelift. There’s a rumor about who did that, who is currently not in the country. I won’t say because I don’t want to get sued. But then the second rumor who is credited for correcting it is Dr. Steve Levine. And if that is true, he did a phenomenal job kind of fixing everything, making her look more natural. But I feel like there was a small post of her on the red carpet where she was doing a little twirly, and you can see the scars behind her neck and hairline from the facelift.
Bri (37:45):
Can’t deny it if you got scars.
Dr. G (37:46):
Yeah, I mean, it’s a clear scar. She wears her hair up like that all the time. So I don’t know. She looks great.
Bri (37:56):
She looks so good.
Dr. G (37:57):
She looks good now. But the original version was bad and I think, yeah, her upper lip lift was tragic.
Bri (38:05):
Yeah. No, she looks so good. I love her collarbone, so I am looking at that before your traps.
Dr. G (38:15):
Yeah. Again, no one’s like, wow, Demi Moore, what’s going on with her traps? Alright. And then in terms of things getting smaller, our number two trend for 2025, they’re going from smaller. They’re downsizing their implants. Not everybody, but most people are, I would say, or when they’re coming in for implants, they’re asking for a smaller, more natural look. Again, I can’t account for Orange County, so you can go 45 minutes north and maybe see a different trend. So there are little micro kind of microplastic surgery areas where people all start to look like each other. So some of it is local, but I would say overall people are trending towards a more natural kind of, did she or didn’t she, look. And I think people are embracing, I think smaller, because of Ozempic making everything smaller. I don’t know.
Bri (39:12):
Yeah.
Dr. G (39:13):
Subtle is good.
Bri (39:15):
Yeah. I do think that my butt taking Ozempic has gotten really small, but I’m glad I did the BBLs because now that it’s getting small, it still has a shape. It’s not like a pancake.
Dr. G (39:32):
Right. You have some oomph in there.
Bri (39:34):
And there’s still a little something, something.
Dr. G (39:35):
We did talk about that yesterday. We could just do glute bridges or whatever.
Bri (39:39):
I know in the OR trying to do donkey kicks and then I was like, oh, I’ll just shove some Sculptra in it.
Dr. G (39:47):
Yeah, right. You could just do
Bri (39:49):
Let’s be real.
Dr. G (39:51):
Well, there is going to be a new fat available on the market. Fat in a syringe.
Bri (39:56):
Stop.
Dr. G (39:58):
No, there is, I mean,
Bri (39:59):
How pricey is that?
Dr. G (40:00):
We don’t know yet. So it’s still under, I think it’s approved, maybe only the people who trialed it have access to it right now. I keep forgetting what it’s called. It’s something with an A. It’s going to be owned by Tiger Aesthetics and they’re going to be larger syringes. So that might be an interesting alternative for people who want, I mean, I think if we’re going to go to smaller butts, then I am going to call the non-surgical BBL, the next trend or this quote unquote, skinny BBL. Because if you can get the volume you want with just either fake fat and a syringe or some dilute radiesse or filler, and it gives you the shape that you want without adding too much volume, then I think that will be a popular option
Bri (40:47):
If you get it in office, dibs on being the first. trial.
Dr. G (40:48):
Dibs on doing it? Sure. Yeah. So I think filling out hip dips and maybe creating a little perkier or rounder butt, especially after you’ve lost weight after Ozempic or Mounjaro or whatever, it might be kind of a way to fill in hollows where you don’t want it.
Bri (41:08):
Can you use that in your breast?
Dr. G (41:10):
Yeah. And so I think it’ll be helpful for people who do either composite augmentation, so put in implants and then need a little cleavage enhancer doing a lower projecting implant. Or people who have a little asymmetry, like I said, the current fat available on the market, which is Renuva comes in one cc and three cc or no three cc and five cc syringes. So a very tiny amount is mostly indicated for a face, and you can use it for other areas, but you need a lot of it. And it’s expensive, so it adds up quickly. If I need to put 30 or 50 ccs and we’re paying $5,000 for five ccs, you can see how that doesn’t make it worth it.
Bri (41:57):
That hurts.
Dr. G (41:59):
So again, if you’re married to a tech billionaire, great, but if not,
Bri (42:03):
Holler at your girl.
Dr. G (42:06):
You can’t afford it. So yeah, so smaller breast implants. I think breast reduction is here to stay. I feel like people are really embracing having smaller, lifted breasts and not having to wear bras that aren’t easily available on the market. So having to special order a K bra or a J bra or whatever, I think that’s going to continue to trend.
Bri (42:34):
Itty bitty titty committee.
Dr. G (42:36):
That’s right. What was our other trend here? I think the nonsurgical BBL is going to rise to the top this year.
Bri (42:46):
I think so too. Especially with people wanting, like you said with Ozempic, people are going to want to start filling in some of those areas where you see a huge loss of fat.
Dr. G (42:57):
Yes. I think if people start getting gaunt looks on their face, they’ll probably trend towards facial rejuvenation. But I don’t know that filler is going to come back as in full force as it has been. I think filler is actually trending down. People are scared of it, which is ironic, cuz most people are not doing enough to make them look scary.
Bri (43:19):
I feel like filler migration was a huge thing recently in the last couple months.
Dr. G (43:23):
Right, right. So if you recall, everyone two years ago wanted under eye filler. Everyone, even if you didn’t need it, people were, can I get under eye filler? I saw what? No. And then it started looking crazy. Everyone was doing it. And it’s not an easy injection area. It can migrate, which is what we saw. It can disrupt the lymphatics. So people get puffier lower lids. It’s not the solution for every under eye problem, and so for all of those reasons, it’s quickly trended down. Same thing, jawline filler was all the rage. And then people are like, oh, this looks weird. Again, in certain patients with facial balancing concerns, there are some indications for it, but it’s not, I think when it becomes a trend, then people who don’t need it or shouldn’t have it end up doing it and then it quickly becomes a non trend because people hate it. Right.
Bri (44:25):
Yeah. My girlfriend did under eye filler actually when I went to Mexico. Don’t know if that was the problem, but she had the whole time she had this giant lump right under her eye.
Dr. G (44:35):
Yeah.
Bri (44:36):
Not worth it.
Dr. G (44:38):
You don’t have a lot of space to play with in that area. And so I think nano fat is a great solution for the under eye area. We have peels that you can do. If your skin tone is more natural or paler, you can do CO2 laser resurfacing. All of those things can address what you have. And you’re not solving the problem by just throwing some filler in there, which it’s not a volume issue generally. So if it’s not a volume issue, then putting volume in there is going to make it different, not better. And then let’s talk about extra attention to scar healing. Because one of the reasons celebrities get to say they didn’t have plastic surgery is because they can usually attribute it to no scarring and or fake, you know if it’s something that didn’t leave a scar, like a noninvasive procedure, I think they just say they didn’t have surgery. Right? Plastic surgery. But I think scars, we treat with laser, there are scar creams, there’s new kind of tapes to put out on your incisions as they’re healing.
Bri (45:48):
There’s even tattooing and they have medical scar tattooing and it blends to your pigment and it looks great.
Dr. G (45:54):
Yes. I would say that has been a game changer. It’s interesting because most offices aren’t going to offer it, but the tattoo artists that do are pretty popular. So I think having the procedure, especially with people having weight loss and needing skin excision, maybe around their tummy or their thighs or their arms, the trade-off is an incision. And if we can make that incision not scary, not obvious, so now you’re looking at the scar, then people will be more inclined to address those areas.
Bri (46:26):
Right. That’s why I keep having plastic surgery, cuz I scar really well. No one’s going to know.
Dr. G (46:36):
Yeah, if you heal well, you have a get out of jail card.
Bri (46:41):
Pass go, collect all the money.
Dr. G (46:46):
Alright, so if you’re listening today, you have questions or need information about scheduling, financing, want to check out our reviews before and after photos, check out our show notes for links to the website.
Bri (47:00):
If you’re billionaire, just hit the dm’s. But before we go, I feel like we should do a little sweater reveal. I know you had your labia shirt on the last episode, right?
Dr. G (47:11):
That’s right.
Bri (47:11):
So let’s see, this Christmas sweater.
Dr. G (47:13):
I’m on a roll. I’m setting the bar high. So it says Santa’s favorite ho. Truly awful.
Bri (47:26):
I love it. I love it.
Dr. G (47:29):
And yours is just cute Christmas.
Bri (47:30):
Mine’s just basic.
Dr. G (47:32):
That’s okay. Nice snowflake.
Bri (47:34):
Yes.
Dr. G (47:35):
Yep. Beautiful. Well, we hope everybody has a wonderful holidays.
Bri (47:40):
Yes.
Dr. G (47:40):
We are going to be back before the end of the year to tape one more show. So Yeah, like and subscribe.
Bri (47:48):
Like, and subscribe. Hit that button.
Dr. G (47:53):
We learned all of that from our teens. Okay.
Bri (47:55):
Yes.
Dr. G (47:55):
We’re out.
Bri (47:56):
Okay, bye.
Dr. G (48:01):
If you’re listening today and have questions, need info about scheduling, financing, reviews, or photos, check out the show notes for links. Restore SD Plastic Surgery is located in La Jolla, California. To learn more about us, go to restoresdplasticsurgery.com or follow us on Instagram @restoreSDplasticsurgery. If you enjoyed this episode, please share it and subscribe to All the B’s on YouTube, Apple Podcasts, Spotify, or wherever you like to listen to podcasts.
About Restore SD & Dr. Katerina Gallus
As the Director of Restore SD Plastic Surgery, board certified female San Diego plastic surgeon Dr. Katerina Gallus has over 20 years of experience helping patients enjoy head to toe rejuvenation with face, breast and body procedures. After a successful career as a Navy plastic surgeon, Dr. Gallus founded her San Diego plastic surgery center, Restore SD Plastic Surgery, with the intention of creating a welcoming space for anyone seeking cosmetic enhancement.
Restore SD Plastic Surgery offers popular facial rejuvenation procedures like facelift & neck lift, facial fat transfer, nanofat grafting and rhinoplasty; breast augmentation with implants, breast lifts or breast reduction; body contouring procedures such as tummy tuck, liposuction, mommy makeover, and Brazilian butt lift (BBL), as well as non-surgical aesthetician services, BOTOX, dermal fillers, laser treatments, and weight loss injections.
Dr. Gallus and her highly-experienced aesthetics team are here to help you look and feel your best! To schedule a personal consultation, please contact us online or call our office at (858) 224-2281 today. We proudly serve the San Diego and La Jolla areas.
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