Podcast thumbnail for Plastic Surgery: Before and After

Plastic Surgery: Before and After

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by Darren M. Smith, M.D.

5.0(1 reviews)
68 episodes
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Podcast Overview

Welcome to Plastic Surgery: Before and After, where board certified NYC plastic surgeon Dr. Darren Smith dishes on the ins and outs of plastic surgery in today's world. We cover popular questions about common procedures, demystify lesser known but powerful tweaks, tackle trending stories in beauty news, and more. Please note that the information provided in this podcast is not medical advice and is never a substitution for a consultation with a medical provider.

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Publishing Since

6/23/2020

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Recent Episodes

Episode thumbnail for Reversing the Rules: When (and When Not) to Believe the Warnings About Breast Asymmetry

April 26, 2026

Reversing the Rules: When (and When Not) to Believe the Warnings About Breast Asymmetry

<p>Manhattan plastic surgeon Dr. Darren Smith explores the "volume exception" in breast asymmetry, explaining why traditional surgical warnings are often correct—but can also be completely backward depending on your anatomy. He walks through the three primary patterns of asymmetry to show how math and 3D imaging dictate the perfect surgical plan.</p><p><strong>What you’ll hear in this episode:</strong></p><ul><li><strong>The Half-Truth of Textbooks:</strong> Why the common warning that implants always magnify asymmetry is true for position but false for volume.</li><li><strong>The Volume Exception:</strong> How the "arithmetic of proportions" can shrink a visible 10% volume difference down to a negligible 4.4% using identical implants.</li><li><strong>When the Warning Holds True:</strong> Why implants actually make positional issues, like uneven nipple heights or creases, more visible to the eye.</li><li><strong>The Post-Nursing Pattern:</strong> Why deflation after breastfeeding is the textbook case for using identical implants to restore symmetry.</li><li><strong>The Tuberous Deformity Trap:</strong> Why congenital asymmetry requires a specialized tissue release rather than a simple volume fix to avoid worsening the appearance.</li><li><strong>Chest Wall Dynamics:</strong> How rib cage flares or a sunken sternum create "recessed" breasts that require different implant profiles to correct.</li><li><strong>Landmarks vs. Ratios:</strong> Why the human brain focuses on nipple position even after the volumetric math has been solved.</li><li><strong>Visualizing the Math:</strong> How 3D imaging at the consultation stage sets realistic expectations by simulating identical versus different-sized implants.</li></ul><br/><p>Resources and links:</p><ul><li>Are you considering a<u><a href="https://www.darrensmithmd.com/breast/breast-augmentation-in-nyc/" rel="noopener noreferrer" target="_blank"> Breast Augmentation</a></u>?</li><li>Learn more about<u><a href="https://www.darrensmithmd.com/breast/breast-asymmetry-correction/" rel="noopener noreferrer" target="_blank"> Breast Asymmetry Correction</a></u> in Manhattan.</li><li>Explore options for a<u><a href="https://www.darrensmithmd.com/breast/breast-lift-surgery-nyc/" rel="noopener noreferrer" target="_blank"> Breast Lift</a></u> to correct positional asymmetry.</li><li>Verify board-certified surgeons via the<a href="https://www.abplasticsurgery.org/" rel="noopener noreferrer" target="_blank"> </a><u><a href="https://www.abplasticsurgery.org/" rel="noopener noreferrer" target="_blank">American Board of Plastic Surgery</a></u>.</li><li>Schedule a consultation at<u><a href="https://www.darrensmithmd.com/contact-us/" rel="noopener noreferrer" target="_blank"> Dr. Darren Smith’s Practice</a></u> in the Ritz Tower.</li><li>Check out Plastics &amp; Peptides, our sister podcast co-hosted by longevity expert and board-certified internist Dr. Amanda Kahn at<a href="https://podcasts.apple.com/ca/podcast/plastics-peptides/id1835192336" rel="noopener noreferrer" target="_blank"> </a><u><a href="https://podcasts.apple.com/ca/podcast/plastics-peptides/id1835192336" rel="noopener noreferrer" target="_blank">https://podcasts.apple.com/ca/podcast/plastics-peptides/id1835192336</a></u></li></ul><br/><p>A note on how this episode was produced: Elements of this episode were produced using AI tools, allowing Dr. Smith to scale his educational reach beyond the operating room and consultation office. All medical content, clinical opinions, and recommendations have been personally reviewed and fact-checked by Dr. Darren Smith, a board-certified plastic surgeon with dual fellowship training in craniofacial and aesthetic surgery. Dr. Smith's commitment to leveraging AI isn't about cutting corners — it's about amplifying his educational bandwidth so that more patients have access to the honest, expert-level guidance they deserve before making life-changing surgical decisions.</p>

Episode thumbnail for "Is Mommy Okay?": A Parent’s Age-by-Age Guide to the Plastic Surgery Conversation

March 13, 2026

"Is Mommy Okay?": A Parent’s Age-by-Age Guide to the Plastic Surgery Conversation

<p>Board-certified plastic surgeon Dr. Darren Smith provides a thoughtful roadmap for parents on how to navigate the recovery process with their children, ensuring honesty and emotional security throughout the healing journey.</p><ol><li data-list="ordered"><span class="ql-ui" contenteditable="false"></span>What you’ll hear in this episode:</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span><strong>The Observer Paradox:</strong> Why children are the world’s best observers but worst interpreters, and how silence can lead them to "fill in the blanks" with scary stories.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span><strong>The Boo-Boo Framework:</strong> How to provide simple, physical reassurance to toddlers who only need to know that you’re safe and still here.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span><strong>Empowering the School-Age Child:</strong> Why giving your 5-to-8-year-old a "job" during your recovery can transform their anxiety into a sense of helpfulness and control.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span><strong>Agency vs. Inadequacy:</strong> The subtle shift in language for pre-teens that teaches them surgical choices are about personal autonomy rather than "fixing" flaws.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span><strong>The Transparency Framework:</strong> How to handle tough questions from teenagers about beauty standards while maintaining mutual trust and respect.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span><strong>The Confidence Mirror:</strong> Why your child’s reaction to your surgery is often a direct reflection of your own internal comfort or lingering guilt.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span><strong>Privacy vs. Secrecy:</strong> How to give your kids "portable language" for school playdates that protects your medical privacy without feeling like a heavy family secret.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span><strong>The Gentle Cuddle Position:</strong> Why establishing new physical boundaries before surgery prevents your child from feeling rejected during your healing process.</li><li data-list="ordered"><span class="ql-ui" contenteditable="false"></span>Resources and links:</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Are you considering a Mommy Makeover? <a href="https://www.google.com/search?q=https://www.darrensmithmd.com/procedures/body/mommy-makeover/&amp;authuser=1" rel="noopener noreferrer" target="_blank">https://www.darrensmithmd.com/procedures/body/mommy-makeover/</a></li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Learn more about Abdominoplasty (Tummy Tuck) recovery and results. <a href="https://www.google.com/search?q=https://www.darrensmithmd.com/procedures/body/tummy-tuck/&amp;authuser=1" rel="noopener noreferrer" target="_blank">https://www.darrensmithmd.com/procedures/body/tummy-tuck/</a></li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Explore Breast Lift options with Dr. Darren Smith. <a href="https://www.google.com/search?q=https://www.darrensmithmd.com/procedures/breast/breast-lift/&amp;authuser=1" rel="noopener noreferrer" target="_blank">https://www.darrensmithmd.com/procedures/breast/breast-lift/</a></li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Schedule a consultation at Dr. Smith’s Manhattan office. <a href="https://www.google.com/search?q=https://www.darrensmithmd.com/contact/&amp;authuser=1" rel="noopener noreferrer" target="_blank">https://www.darrensmithmd.com/contact/</a></li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Check out Plastics &amp; Peptides, our podcast co-hosted by longevity expert and board-certified internist Dr. Amanda Kahn at <a href="https://podcasts.apple.com/ca/podcast/plastics-peptides/id1835192336" rel="noopener noreferrer" target="_blank">https://podcasts.apple.com/ca/podcast/plastics-peptides/id1835192336</a></li></ol><br/><p>A note on how this episode was produced: Elements of this episode were produced using AI tools, allowing Dr. Smith to scale his educational reach beyond the operating room and consultation office. All medical content, clinical opinions, and recommendations have been personally reviewed and fact-checked by Dr. Darren Smith, a board-certified plastic surgeon with dual fellowship training in craniofacial and aesthetic surgery. Dr. Smith's commitment to leveraging AI isn't about cutting corners — it's about amplifying his educational bandwidth so that more patients have access to the honest, expert-level guidance they deserve before making life-changing surgical decisions.</p>

Episode thumbnail for Beyond Revenge Surgery: Navigating the Post-Divorce Makeover

March 11, 2026

Beyond Revenge Surgery: Navigating the Post-Divorce Makeover

<p>Board-certified New York City plastic surgeon Dr. Darren Smith explores the clinical and psychological realities of the "divorce makeover," helping patients distinguish between acts of empowerment and reactive grief responses.</p><p><strong>What you’ll hear in this episode:</strong></p><ol><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Why a national survey found that over 40% of women desire physical changes following a major life transition.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Shifting the narrative from tabloid headlines to the clinical reality that post-divorce patients represent roughly 20% of a modern plastic surgery practice.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Understanding why divorce ranks as the second most stressful life event on the Holmes-Rahe scale, surpassed only by the death of a spouse.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Why men account for nearly 30% of patients seeking "divorce packages" to address appearance concerns before re-entering the dating world.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>How to identify if a patient is moving toward a positive goal or simply running away from emotional pain.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>An inside look at the five-factor screening tool used to predict surgical satisfaction and flag potential body dysmorphia.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Why experts suggest waiting six months to two years after a major loss before making permanent surgical decisions.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>How correctly timed procedures lead to documented improvements in body image, self-esteem, and overall quality of life.</li></ol><br/><p><strong>Resources and links:</strong></p><ol><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Are you considering a <a href="https://www.darrensmithmd.com/body/nyc-mommy-makeover/" rel="noopener noreferrer" target="_blank">Mommy Makeover</a> or <a href="https://www.darrensmithmd.com/breast/breast-implant-options/" rel="noopener noreferrer" target="_blank">Breast Augmentation</a>?</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Explore Dr. Smith's approach to <a href="https://www.darrensmithmd.com/body/stomach-liposuction-nyc/" rel="noopener noreferrer" target="_blank">Liposuction</a> and body contouring.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Interested in facial rejuvenation? Learn about <a href="https://www.darrensmithmd.com/face/facelift/" rel="noopener noreferrer" target="_blank">Facelifts</a> and <a href="https://www.darrensmithmd.com/face/nyc-eyelid-surgery/" rel="noopener noreferrer" target="_blank">Eyelid Lifts</a>.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Schedule a personalized consultation to discuss your goals at <a href="https://www.darrensmithmd.com/" rel="noopener noreferrer" target="_blank">https://www.darrensmithmd.com/</a>.</li><li data-list="bullet"><span class="ql-ui" contenteditable="false"></span>Check out Plastics &amp; Peptides, our podcast co-hosted by longevity expert and board-certified internist Dr. Amanda Kahn at <a href="https://podcasts.apple.com/ca/podcast/plastics-peptides/id1835192336" rel="noopener noreferrer" target="_blank">https://podcasts.apple.com/ca/podcast/plastics-peptides/id1835192336</a>.</li></ol><br/><p>A note on how this episode was produced: Elements of this episode were produced using AI tools, allowing Dr. Smith to scale his educational reach beyond the operating room and consultation office. All medical content, clinical opinions, and recommendations have been personally reviewed and fact-checked by Dr. Darren Smith, a board-certified plastic surgeon with dual fellowship training in craniofacial and aesthetic surgery. Dr. Smith's commitment to leveraging AI isn't about cutting corners — it's about amplifying his educational bandwidth so that more patients have access to the honest, expert-level guidance they deserve before making life-changing surgical decisions.</p>

68 total episodes available with 5 transcripts

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What is Plastic Surgery: Before and After?

Welcome to Plastic Surgery: Before and After, where board certified NYC plastic surgeon Dr. Darren Smith dishes on the ins and outs of plastic surgery in today's world. We cover popular questions about common procedures, demystify lesser known but powerful tweaks, tackle trending stories in beauty news, and more. Please note that the information provided in this podcast is not medical advice and is never a substitution for a consultation with a medical provider.

How often does this podcast release new episodes?

This podcast updates inactive.

Where can I listen to this podcast?

This podcast is available on 2 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.

Does this podcast accept guests?

No, this podcast does not typically feature guests.

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