Dr. Smita Ramanadham and Dr. Ashley Amalfi
Lipstick & Lipo: Your Unfiltered Guide to Plastic Surgery
Join us, two Board-Certified female Plastic Surgeons, as we discuss all things plastic surgery, beauty, and wellness. No topic is off-limits. Our mission is to provide you with accurate information and educate in a real, approachable, and relatable way. Dr. Smita R. Ramanadham is a double-board certified plastic surgeon in private solo practice in NJ and Dr. Ashley Amalfi is a board certified plastic surgeon in private practice in Rochester, NY.We share a love and passion for plastic surgery, mentorship, women in surgery, and, fashion (of course!)! Our friendship has been so natural and organi...
Author
Dr. Smita Ramanadham and Dr. Ashley Amalfi
Category
Podcast website
Latest episode
Jul 9, 2026
Where to listen?
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Episodes
Celebrities Rejecting Plastic Surgery - The Anti-Botox Movement 09.07.2026 6:21
Some celebrities like Kate Winslet and Sarah Jessica Parker are publicly rejecting plastic surgery and swearing off Botox and fillers. Some are still getting it done. What's really happening in Hollywood, and does it matter for you? Board certified plastic surgeons discuss the growing divide among celebrities, why some are rejecting procedures, and why neither choice should be judged. Your decisio...
Breast implants under or over the muscle? Will you have a choice? 02.07.2026 8:24
We recently received a comment from a viewer who had breast implants placed without being given a choice or explanation about placement options. This sparked an important conversation about patient communication. We discuss why placement matters, the differences between over and under the muscle, how the industry has evolved, and why your surgeon needs to explain your options before surgery. You n...
Vampire facials and salmon DNA - Are they worth the hype? 25.06.2026 5:22
Vampire facials and salmon DNA facials are trending, with celebrity endorsements and expensive price tags. But are they actually worth the money, and do board certified plastic surgeons recommend them? We're discussing what these treatments actually do, what the science shows, and whether you're better off sticking to the basics like retinol, sunscreen, and proven treatments like microneedling and...
What you want vs what's possible with a breast lift 18.06.2026 6:18
A lot of patients come in wanting a breast lift thinking they'll get a rounded, full breast. But a breast lift and a breast augmentation are two very different procedures, and understanding the difference is crucial before you book surgery. We're discussing what a breast lift actually does, why a natural breast is a teardrop shape and when you might need an implant to achieve the fullness you're...
Ballerina breast augmentation explained | #1 googled breast procedure 11.06.2026 5:27
Ballerina breast augmentation" is the #1 most searched breast topic on Google right now. But what does it actually mean, and does it deliver the results patients are expecting? We're discussing this viral trend and explaining what patients are really asking for when they mention ballerina breasts. It's smaller, natural-looking augmentations that enhance without being obvious. We also talk about wh...
Tummy tuck recovery - What's actually true vs the scary stories 04.06.2026 8:14
You've probably seen scary stories online about tummy tuck recovery people needing walkers, recliners, commodes. While some of these stories exist, they're usually the result of people going into surgery unprepared or with underlying health issues that weren't optimized. As board certified plastic surgeons, we're here to tell you that with proper preparation, tummy tuck recovery doesn't have to be...
Addressing the sunscreen and retinol myth | Board certified surgeons explain the science 28.05.2026 8:48
Recently, a skincare expert claimed that SPF and retinol are harmful and should be avoided. As board certified plastic surgeons, we're respectfully disagreeing and breaking down the science behind why these two ingredients are non-negotiable for skin health. We discuss why sunscreen is your best defense against skin cancer and premature aging, how to wear it correctly, and why retinol is the only...
Neck aging - What board certified plastic surgeons recommend 21.05.2026 8:44
Your neck is one of the first places to show aging, and most people start noticing changes in their 30s and 40s. From tech neck to vertical neck bands to loose skin, we're discussing why your neck ages faster than other parts of your body and what you can actually do about it. We cover the anatomy of why necks age first, what causes those vertical bands and horizontal lines, and the full spectrum...
Denise Richards' facelift - Are facelifts the new Botox? 14.05.2026 7:03
Denise Richards has been very open about her recent facelift. This week we are posing the question: are facelifts the new Botox? The fear about getting surgery has been slowly diminishing with the openness of Hollywood. And the honest truth is this is the best way to go if you want to see measurable results as you age. Fillers and Botox still have their place, but facelifts are the only way to see...
Bethany Frankel's cupping accident - What's safe at home? 07.05.2026 7:35
Bethany Frankel recently made headlines after cutting herself with an at home cupping device she bought online. As board certified plastic surgeons, we're discussing what beauty treatments are actually safe to do at home and which ones you should never attempt without professional supervision. From DIY lasers and chemical peels to home Botox kits sold on Amazon, we're seeing people buy invasive tr...
GLP-1 weight loss - Are celebrities going too far? 30.04.2026 7:14
Award season has arrived, and celebrities are getting noticeably smaller. As board certified plastic surgeons and doctors, we're breaking down what's really happening with GLP-1 medications like Ozempic and Wegovy. These medications can be life-changing when used correctly for metabolic health, diabetes management, and treating obesity. But we're seeing a concerning trend of extreme weight loss am...
Top breast implant questions 2026 | Board certified surgeons answer 23.04.2026 10:56
We received questions about breast implants and we're diving into your top concerns for 2026. From changing implant placement to surgeon expertise to costs, we're giving you the information you need. Can you switch from under the muscle to over the muscle? Is it normal for surgeons to only do one type of placement? What does replacing implants actually cost? We're addressing the questions that hel...
The DNA of a Doctor | Dr. Smita Ramanadham's journey as a female plastic surgeon 16.04.2026 7:53
Big news - Dr. Smita is now a published author. Her book "The DNA of a Doctor: Upbringing Culture and Unbridled Ambition Curates Achievement" is available now on Amazon and wherever books are sold. This episode is different from our usual content. Dr. Amalfi interviews Dr. Smita about her journey writing this book, what inspired her to share her story, and why she felt it was important to be vulne...
Traveling for plastic surgery - What you need to know 09.04.2026 6:46
Traveling for plastic surgery can be tempting, especially when you see deals that seem too good to pass up. But there are unique risks and considerations you need to understand before booking that flight. From aftercare access to safety standards to what happens if something goes wrong, we're discussing the reality of traveling for cosmetic procedures. Whether you're considering going out of state...
Breast lift Q&A 02.04.2026 7:00
Over the past few months we have gotten several questions about breast lifts. In this week's episode we will address three of the major questions: Will my results last? If I'm doing a lift will I need an implant? When would I actually need an implant? If you're considering a breast lift or wondering whether you need an implant, this episode gives you the framework to have better conversations with...
Labiaplasty questions answered - Recovery, swelling, and results 26.03.2026 9:47
You asked, we're answering. After our recent labiaplasty episodes, we received questions about recovery, swelling, and what to expect in the healing process. We're addressing the most common concerns patients have after surgery. From asymmetric swelling in the first week to when bleeding should stop, we're giving you real answers about what's normal and what's not. If you're considering labiaplast...
Is there an ideal weight for breast augmentation? 19.03.2026 5:25
Is there an ideal weight for breast augmentation? While this isn't discussed as much for body contouring procedures, it absolutely matters for your results and safety. Most breast augmentation patients naturally tend to be at a stable weight already, but understanding why timing matters can help you get the best possible outcome. We're discussing why chasing a moving target with weight changes can...
Anesthesia anxiety and plastic surgery - How safe is it really? 12.03.2026 8:16
Anesthesia anxiety is one of the most common reasons people hesitate to move forward with plastic surgery. The fear is real, but the reality is very different from what you might imagine. We're addressing the biggest concerns about going under anesthesia and explaining why modern plastic surgery in accredited facilities is remarkably safe. From what actually happens when you're under anesthesia to...
Plastic Surgeons vs Cosmetic Surgeons 05.03.2026 11:08
Not all surgeons are the same, and the difference can impact your safety. The terms "plastic surgeon" and "cosmetic surgeon" sound similar, but they represent vastly different levels of training and expertise. One requires nearly a decade of specialized surgical training and rigorous board certification. The other might be a doctor who took a short course. We're explaining what board certification...
Martha Stewart's Approach to Aging 26.02.2026 7:37
At 84, Martha Stewart doesn't look her age and she's not shy about saying that's intentional. She's been open about using some treatments while maintaining privacy about the specifics. Her incredibly active lifestyle and commitment to health are just as much a part of the equation as any procedure. We're discussing what makes her different from the dramatic transformations we usually see in celebr...
When Do Breast Implants Need to Be Replaced? 19.02.2026 9:02
This is probably the most common question we get asked: How often do breast implants need to be replaced? A lot of advice says 10-15 years, but that's not actually true. There's no expiration date on breast implants. We explain why the timeline is different for everyone, what signs to watch for that indicate replacement might be needed, and how to think about imaging for both your implants and you...
More men are getting plastic surgery - We discuss why. 12.02.2026 8:59
Male cosmetic procedures are booming, especially in two specific industries: tech and finance. We're seeing a surge of men in their 50s and 60s feeling pressure to look younger as 20 and 30-year-old workers enter their offices. From Botox and skincare to facelifts and body contouring, men are embracing procedures they once avoided. We discuss why this demographic shift is happening now, how we app...
Simone Biles breast augmentation 05.02.2026 11:58
Simone Biles has been incredibly transparent about her breast augmentation, sharing details about her surgery and her board certified female surgeon. We applaud her openness and her choice of a qualified surgeon. However, as board certified plastic surgeons who specialize in breast surgery, we have serious concerns about one specific aspect of her procedure: the placement of her implants under the...
Plastic surgeons react to viral beauty trends on TikTok 29.01.2026 9:53
Viral beauty trends are everywhere on TikTok - from lip flips to buccal fat removal to slugging and face taping. We're discussing why chasing these trends is usually a waste of your time and money. As board certified plastic surgeons, we discuss the good and bad of social media's impact on plastic surgery, how to spot BS advice from unqualified "experts," and why reading recovery horror stories on...
Andy Cohen admits to Botox: Should celebrities be honest about cosmetic procedures? 22.01.2026 9:59
Andy Cohen looked noticeably different during his New Year's special with Anderson Cooper on CNN, sparking rumors about a facelift. He came out and addressed what he actually had done. He addressed the speculation, and we're looking at his before and after photos. We'll never truly know exactly what he's had done since we're not his doctors, but we discuss what weight loss, professional lighting,...
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