Go beyond the surface with insights from the plastic surgery experts at <a href="https://www.ljcsc.com/" target="_blank" rel="noreferrer noopener">La Jolla Cosmetic Surgery Centre</a>. Dive deep into the latest advancements, patient stories, and the artistry behind cosmetic surgery from a globally recognized practice, the 12x winner of the San Diego’s Best Union-Tribune Readers Poll, and the 2025 winner of Best Cosmetic Surgery Group in San Diego Magazine’s Best of San Diego Awards.<br /><br />With your hostess Monique Ramsey, we take you inside LJCSC, the place where dreams become real, featuring San Diego’s most loved plastic surgeons as our cosmetic surgery experts.<br /><br /><b>Johan Brahme, MD, Plastic Surgeon: </b>Practicing at La Jolla Cosmetic Surgery Centre since 2004, Dr. Brahme is a double board certified plastic surgeon with a stellar reputation for his kind bedside manner, commitment to safety, and beautiful aesthetic surgery results. Dr. Brahme is a past president of the San Diego Plastic Surgery Society and a member of both the American Society of Plastic Surgeons (ASPS) and The Aesthetic Society (formerly ASAPS).<br /><br /><b>John Smoot, MD, Plastic Surgeon: </b>During his 30+ years as a board certified plastic surgeon in San Diego, Dr. John Smoot has earned a reputation for providing excellent care & beautiful cosmetic surgery results. With an extraordinary depth of skill and experience in plastic surgery, he well-known for advanced scar-reducing techniques with breast lift surgery and the highly effective internal bra technique for revision breast surgery. Dr. Smoot is board certified by the American Board of Plastic Surgery and served as Chief of Plastic Surgery at Scripps Memorial Hospital La Jolla, where he is also on staff. He’s a member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the California Society of Plastic Surgeons.<br /><br /><b>Hector Salazar-Reyes, MD, Plastic Surgeon:</b> As a board-certified plastic surgeon, Dr. Hector Salazar-Reyes has a passion and respect for the field of cosmetic surgery and is well-regarded known for his exceptional patient care. Dr. Salazar completed his general and plastic surgery residencies at the world-renowned Houston Methodist Hospital, where the first silicone breast implants were developed. During this time, Dr. Salazar served as chief resident in both specialties and was recognized with service and most professional resident awards from Houston Methodist Hospital. He is proud to be certified by the American Board of Plastic Surgery and the Board of Plastic Surgery of Mexico—and to be a Fellow of the American College of Surgeons (FACS). <br /><br /><b>Luke Swistun, MD, Plastic Surgeon:</b> Dr. Luke Swistun is a board-certified plastic surgeon with a background in visual arts and medical military service. He’s known for his artistic approach to plastic surgery and for the close, supportive relationship he forms with every person he treats. He is known nationally and internationally for his expertise in breast implant removal and his compassionate approach to patients experiencing breast implant illness.<br /><br /><b>Kiersten Riedler, MD, Facial Plastic Surgeon:</b> San Diego native Dr. Riedler brings dedication to all she does here at La Jolla Cosmetic Surgery Centre. Double board certified in otolaryngology – head and neck surgery by the American Board of Medical Specialties (ABMS) and in facial plastic and reconstructive surgery by the American Board of Facial Plastic Surgery, she prioritizes communication, trust, and building relationships with everyone she treats. <br /><br /><b>Diana Breister-Ghosh, MD, Plastic Surgeon: </b>A board-certified plastic surgeon and San Diego native, Dr. Breister Ghosh delivers exceptional results and care to local women and men. She is known for the personal relationships she builds with her patients and her work to empower women through confidence-building plastic surgery.Though skilled at several types of procedures, she is most known for excellence in performing face and neck lifts, eyelid surgery, feminine rejuvenation, breast augmentation, breast lift, and tummy tucks. With a specialization in loose skin removal, Dr. Breister is passionate about helping people who have lost weight become less self-conscious about the loose skin left over.<br /><br />Send us a voicemail! We’ll answer your question on the podcast. Send us your message at <a href="https://www.thelajollacosmeticpodcast.com/" target="_blank" rel="noreferrer noopener">thelajollacosmeticpodcast.com </a><br /><b></b><br />To learn more, go to<a href="https://www.ljcsc.com/" target="_blank" rel="noreferrer noopener"> ljcsc.com</a> or follow <a href="https://www.instagram.com/ljcsc" target="_blank" rel="noreferrer noopener">@ljcsc</a> on Instagram
The La Jolla Cosmetic Podcast
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Podcast Overview
Go beyond the surface with insights from the plastic surgery experts at <a href="https://www.ljcsc.com/" target="_blank" rel="noreferrer noopener">La Jolla Cosmetic Surgery Centre</a>. Dive deep into the latest advancements, patient stories, and the artistry behind cosmetic surgery from a globally recognized practice, the 12x winner of the San Diego’s Best Union-Tribune Readers Poll, and the 2025 winner of Best Cosmetic Surgery Group in San Diego Magazine’s Best of San Diego Awards.<br /><br />With your hostess Monique Ramsey, we take you inside LJCSC, the place where dreams become real, featuring San Diego’s most loved plastic surgeons as our cosmetic surgery experts.<br /><br /><b>Johan Brahme, MD, Plastic Surgeon: </b>Practicing at La Jolla Cosmetic Surgery Centre since 2004, Dr. Brahme is a double board certified plastic surgeon with a stellar reputation for his kind bedside manner, commitment to safety, and beautiful aesthetic surgery results. Dr. Brahme is a past president of the San Diego Plastic Surgery Society and a member of both the American Society of Plastic Surgeons (ASPS) and The Aesthetic Society (formerly ASAPS).<br /><br /><b>John Smoot, MD, Plastic Surgeon: </b>During his 30+ years as a board certified plastic surgeon in San Diego, Dr. John Smoot has earned a reputation for providing excellent care & beautiful cosmetic surgery results. With an extraordinary depth of skill and experience in plastic surgery, he well-known for advanced scar-reducing techniques with breast lift surgery and the highly effective internal bra technique for revision breast surgery. Dr. Smoot is board certified by the American Board of Plastic Surgery and served as Chief of Plastic Surgery at Scripps Memorial Hospital La Jolla, where he is also on staff. He’s a member of the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and the California Society of Plastic Surgeons.<br /><br /><b>Hector Salazar-Reyes, MD, Plastic Surgeon:</b> As a board-certified plastic surgeon, Dr. Hector Salazar-Reyes has a passion and respect for the field of cosmetic surgery and is well-regarded known for his exceptional patient care. Dr. Salazar completed his general and plastic surgery residencies at the world-renowned Houston Methodist Hospital, where the first silicone breast implants were developed. During this time, Dr. Salazar served as chief resident in both specialties and was recognized with service and most professional resident awards from Houston Methodist Hospital. He is proud to be certified by the American Board of Plastic Surgery and the Board of Plastic Surgery of Mexico—and to be a Fellow of the American College of Surgeons (FACS). <br /><br /><b>Luke Swistun, MD, Plastic Surgeon:</b> Dr. Luke Swistun is a board-certified plastic surgeon with a background in visual arts and medical military service. He’s known for his artistic approach to plastic surgery and for the close, supportive relationship he forms with every person he treats. He is known nationally and internationally for his expertise in breast implant removal and his compassionate approach to patients experiencing breast implant illness.<br /><br /><b>Kiersten Riedler, MD, Facial Plastic Surgeon:</b> San Diego native Dr. Riedler brings dedication to all she does here at La Jolla Cosmetic Surgery Centre. Double board certified in otolaryngology – head and neck surgery by the American Board of Medical Specialties (ABMS) and in facial plastic and reconstructive surgery by the American Board of Facial Plastic Surgery, she prioritizes communication, trust, and building relationships with everyone she treats. <br /><br /><b>Diana Breister-Ghosh, MD, Plastic Surgeon: </b>A board-certified plastic surgeon and San Diego native, Dr. Breister Ghosh delivers exceptional results and care to local women and men. She is known for the personal relationships she builds with her patients and her work to empower women through confidence-building plastic surgery.Though skilled at several types of procedures, she is most known for excellence in performing face and neck lifts, eyelid surgery, feminine rejuvenation, breast augmentation, breast lift, and tummy tucks. With a specialization in loose skin removal, Dr. Breister is passionate about helping people who have lost weight become less self-conscious about the loose skin left over.<br /><br />Send us a voicemail! We’ll answer your question on the podcast. Send us your message at <a href="https://www.thelajollacosmeticpodcast.com/" target="_blank" rel="noreferrer noopener">thelajollacosmeticpodcast.com </a><br /><b></b><br />To learn more, go to<a href="https://www.ljcsc.com/" target="_blank" rel="noreferrer noopener"> ljcsc.com</a> or follow <a href="https://www.instagram.com/ljcsc" target="_blank" rel="noreferrer noopener">@ljcsc</a> on Instagram
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Recent Episodes
June 16, 2026
Why Working Out Can Make “Man Boobs” Worse
There's a reason a lean, sculpted chest can still carry a stubborn bit of fullness right behind the nipple — and it's the one spot a thousand reps will never flatten. Dr. Hector Salazar-Reyes explains why glandular breast tissue in men sits exactly where it's hardest to hide, and why building up the muscle around it can make it stand out even more.<br /><br />Across the conversation with hostess Monique Ramsey, Dr. Salazar walks through the “polo shirt test” that tells most men whether they're a candidate, how he separates true glandular tissue from fat during the exam, and why steroids, certain medications, and even marijuana can trigger the condition long before middle age. <br /><br />Dr. Salazar divides the fix into two worlds: liposuction — including the high-definition version that helps the skin shrink and tighten — and direct excision, where the tissue comes out through a small incision around the areola. For the most severe cases, he reveals the “secret weapon” that flattens the chest completely and rebuilds the nipple from scratch.<br /><br />Hear what recovery really looks like, from compression garments to when weightlifters can pick the bar back up, and why nearly every man who finally does this says the same thing afterward: he should have done it years ago.<br /><br /><b>Links</b><br /><br />Meet San Diego plastic surgeon <a href="https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-hector-salazar-reyes/" target="_blank" rel="noreferrer noopener">Dr. Hector Salazar-Reyes</a><br /><br />Learn more about <a href="https://www.ljcsc.com/procedures/cosmetic-surgery/breast/male-breast-reduction/" target="_blank" rel="noreferrer noopener">male breast reduction</a> in San Diego<br /><br /><b>Questions answered by this episode</b><br /><ol><li>What is gynecomastia, and what causes it?</li><li>What's the difference between true gynecomastia and chest fat?</li><li>Can working out get rid of man boobs?</li><li>Why does my chest look worse after I lose weight or build muscle?</li><li>What is the “polo shirt test” for gynecomastia?</li><li>Can steroids, marijuana, or medications cause gynecomastia?</li><li>What's the difference between liposuction and excision for male breast reduction?</li><li>How much does male breast reduction cost in San Diego?</li><li>How long does it take to recover from gynecomastia surgery?</li><li>When can I lift weights again after male breast reduction?</li><li>About this podcast</li></ol>Learn from the talented plastic surgeons inside <a href="https://www.ljcsc.com/" target="_blank" rel="noreferrer noopener">La Jolla Cosmetic Surgery Centre</a>, 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.<br /><br />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.<br /><br />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.<br /><br />To learn more, go to <a href="https://www.ljcsc.com/" target="_blank" rel="noreferrer noopener">LJCSC.com</a> or follow the team on Instagram <a href="https://www.instagram.com/ljcsc/" target="_blank" rel="noreferrer noopener">@LJCSC</a><br /><br />Watch the LJCSC Dream Team on YouTube <a href="https://www.youtube.com/@LaJollaCosmeticSurgeryCentre/" target="_blank" rel="noreferrer noopener">@LaJollaCosmeticSurgeryCentre</a><br /><br />The La Jolla Cosmetic Surgery Podcast is a production of The Axis: <a href="https://www.theaxis.io/" target="_blank"...
June 9, 2026
What You’ll Actually Look Like After Explant: The Two-Year Timeline
A woman walks into the office holding her phone, points at a stranger’s before-and-after, and says she doesn’t want that result. Dr. Luke Swistun’s answer is almost always the same: that isn’t you. The photo shows someone with different tissue, different proportions, and usually a different surgery — none of which predicts where her own breasts will settle.<br /><br />Dr. Swistun is the explant expert at La Jolla Cosmetic Surgery Centre, and women fly into San Diego from all over to see him. With hostess Monique Ramsey, he walks through a single real before-and-after — the same woman at two months, six months, and two years — and explains what’s swelling, what’s final shape, and where the nipple sits relative to the breast fold (the landmarks that drive every decision). <br /><br />He covers why some women need a lift, some need fat grafting, and some need nothing at all, plus a delayed lower-pole skin excision done under local in about an hour, and serial fat grafting that builds a full B with no implant at all. The conversation lands on the part most women aren’t ready for: how different they feel once the implants are gone.<br /><br />His rule for anyone afraid of the scars: do less, because you can always do more. The woman in that progression took it — removed the implants, waited, then tightened a little skin under local — and told him afterward they look exactly like they did in high school.<br /><br /><b>Links</b><br /><br />Listen to more breast implant removal episodes:<br /><br /><a href="https://www.thelajollacosmeticpodcast.com/fat-transfer-what-can-go-wrong/" target="_blank" rel="noreferrer noopener">Fat Transfer, What Could Go Wrong?</a> with Dr. Swistun<a href="https://www.thelajollacosmeticpodcast.com/clearing-up-capsulectomy-confusion/" target="_blank" rel="noreferrer noopener">Plastic Surgeon Clears Up Capsulectomy Confusion</a> with Dr. Swistun<br /><br /><a href="https://www.thelajollacosmeticpodcast.com/patient-janelle-why-i-had-my-breast-implants-removed-after-22-years/" target="_blank" rel="noreferrer noopener">Patient Janelle: Why I Had My Implants Removed After 22 Years</a><br /><br />Meet San Diego plastic surgeon <a href="https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-luke-swistun/" target="_blank" rel="noreferrer noopener">Dr. Luke Swistun</a><br /><br />Learn more about <a href="https://www.ljcsc.com/procedures/cosmetic-surgery/breast/breast-implant-removal/" target="_blank" rel="noreferrer noopener">breast implant removal (explant)</a><br /><br />Questions answered by this episode<br />1. What will I actually look like after breast implant removal?<br />2. How long does it take to see the final result after an explant?<br />3. Do I need a breast lift when I have my implants removed?<br />4. What is a delayed lower pole skin excision, and when is it used?<br />5. Can fat grafting restore breast volume after explant without implants?<br />6. How much transferred fat actually survives after fat grafting to the breast?<br />7. Why do explant results look so different from one woman to the next?<br />8. What are breast landmarks and why do they matter when planning an explant?<br />9. Is it better to remove the implants first and decide on a lift later?<br />10. How do women feel about themselves a year after explant?<br /><br /><b>About this podcast</b><br /><br />Learn from the talented plastic surgeons inside <a href="https://www.ljcsc.com/" target="_blank" rel="noreferrer noopener">La Jolla Cosmetic Surgery Centre</a>, 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.<br /><br />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...
June 2, 2026
Why Day Three Feels Like a Mistake (But Usually Isn't)
Around 48 to 72 hours after surgery, swelling peaks, the anesthesia haze lifts, and a lot of women look in the mirror and feel like they've made a mistake. Dr. Diana Breister has been in plastic surgery long enough to know that feeling almost never means what people think it means. Most of the time, it's not regret — it's chaos.<br /><br />Dr. Breister, who came to La Jolla Cosmetic after years of reconstructive work at City of Hope, walks Monique through what's actually happening between day one and day fourteen. The first 48 hours are what she calls a “pink bubble” — anesthesia still on board, surgery behind you, mostly relief. <br /><br />Then comes the crash: maximum swelling, pain pills affecting mood, a body shape that doesn't look like the final result yet, and the strange weight of doing nothing while everyone else is productive. <br /><br />They get into the difference between regret and shock, why facelifts feel harder than mommy makeovers, the mean-girl moment that derailed a breast reduction recovery, and what to do when your partner isn't showing up.<br /><br />Three words anchor the whole conversation: trust the process. Dr. Breister explains why she can promise, with 200% certainty, that the feeling will pass — and why the women who say “what did I do” at week one almost never remember saying it by year one.<br /><br /><b>Links</b><br /><b></b><br />Meet <a href="https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-diana-breister/" target="_blank" rel="noreferrer noopener">San Diego plastic surgeon</a> Dr. Diana Breister<br /><br />Learn more about <a href="https://www.ljcsc.com/procedures/cosmetic-surgery/face/facelift/" target="_blank" rel="noreferrer noopener">facelift surgery at LJCSC</a><br /><br />Questions answered by this episode<br /><br /><br /><br /><ol><li>Why do I feel sad or emotional after plastic surgery?</li><li>When does swelling peak after cosmetic surgery?</li><li>Is it normal to regret plastic surgery in the first two weeks?</li><li>What is post-surgery depression and how long does it last?</li><li>Can anesthesia and pain medication change how I feel emotionally?</li><li>Why does my face or body look so different right after surgery?</li><li>How should a partner or family member support someone recovering from cosmetic surgery?</li><li>Why do facelifts feel harder emotionally than other procedures?</li><li>What are the biggest mistakes people make in the first two weeks of recovery?</li><li>How do I tell the difference between normal swelling and a real problem?</li></ol><br /><br /><b>About this podcast</b><br /><b></b><br />Learn from the talented plastic surgeons inside <a href="https://www.ljcsc.com/" target="_blank" rel="noreferrer noopener">La Jolla Cosmetic Surgery Centre</a>, 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.<br /><br />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.<br /><br />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.<br /><br />To learn more, go to <a href="https://www.ljcsc.com/" target="_blank" rel="noreferrer noopener">LJCSC.com</a> or follow the team on Instagram <a href="https://www.instagram.com/ljcsc/" target="_blank" rel="noreferrer noopener">@LJCSC</a><br /><br />Watch the LJCSC Dream Team on YouTube <a href="https://www.youtube.com/@LaJollaCosmeticSurgeryCentre/" target="_blank" rel="noreferrer...
242 total episodes available
Recent guests on The La Jolla Cosmetic Podcast
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Kathleen Lisson
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Cynthia
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Dr. Luke Swistun
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