Lipstick & Lipo: Your Unfiltered Guide to Plastic Surgery

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 organic that it only made sense that we would start this adventure together. We hope you enjoy these episodes as much as we enjoyed making them!

Episodes

February 19, 2026 9 mins

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 your breast tissue.

We also discuss th...

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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 approach male procedures differently t...

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February 5, 2026 11 mins

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 muscle.

For an elite athlete with ...

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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 online isn't giving you the full pict...

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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 ...

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Kendall Jenner recently spoke out on a podcast, stating she's never had plastic surgery only baby Botox.

We're analyzing her before and after photos to educate our audience.

When celebrities with massive platforms lie about their procedures, young women develop false expectations about what's naturally achievable.

The transformation goes beyond what "baby Botox" alone can achieve.

She has great genetics and looked beautiful before,...

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December 25, 2025 9 mins

About a year ago, the FDA approved the Motiva implant and after using them in our practices, we're seeing why patients love them.

These implants have been proven in Europe and South America for over a decade, and the technology is a real step forward. The gel and shell imp...

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December 18, 2025 7 mins

Medical spas are popping up on every corner, and while many are reputable and well-run, not all are created equal.

In this episode, we're giving you a reality check about what "medical" actually means when it comes to med spas.

We discuss why any doctor can be a medical director (even if they have zero aesthetic training), the critical questions you need to ask before getting injected, and the red flags to watch out for.

From supe...

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We're living in the undetectable era where plastic surgery changes are subtle and hard to notice and that's exactly how it should be!

After years of preaching natural results, the world is finally on board with our aesthetic.

We discuss why good plastic surgery should look like you were born that way, how overdone procedures age poorly, and why less is always more.

From BBLs to breast augmentations to facelifts, we explain how sta...

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We're diving into one of the most exciting innovations in breast surgery breast preservation!

This revolutionary new technique for breast augmentation is changing everything by preserving your natural anatomy while delivering beautiful results with minimal downtime.

Instead of cutting through tissue, this method uses a specialized device to gently stretch a pocket for the implant.

We explain how it works, who it's for, why recovery...

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Devil Wears Prada fans are buzzing about Emily Blunt's recent red carpet appearances while filming the sequel.

She looks different, and it's the perfect opportunity to discuss facial aging and proper filler placement.

As huge fans of both Emily and the original movie, we're using her transformation to teach you about facial contours and how we age from the triangle-to-square pattern to why treating the lower face makes everything w...

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We're wrapping up our Recovery Q&A series with Part 3!

In this episode, we answer three important questions:

  • How does compression actually make fluid go away?
  • What should you do about scar tissue forming along your incision?
  • And is it safe to use conscious sedation with Valium for in-office procedures?

We talk through the science behind compression garments, the normal scar healing process, and why a little medicatio...

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We're back with Part 2 of our Recovery Q&A series! In this episode, we tackle two questions we get all the time: Should you split a mommy makeover into separate surgeries (and are your surgeons too tired to do multiple procedures)?

What You'll Learn:

  • Read more
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We're kicking off a new Q&A series all about recovery! In this episode, we tackle two of your most common questions: how soon can you realistically get back to work after surgery, and is it normal to still feel sore at two weeks post-op? We break down what to expect and why your whole body needs time to heal.

What You'll Learn:

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We're living in the era of transparency in plastic surgery, and we're here for it! Shark Tank's Barbara Corcoran just revealed she's had three facelifts and earlobe filler, and she looks amazing. We discuss why celebrities in the spotlight maintain their results differently than most of us would, and what it really means to age gracefully with a little help.

What You'll Learn:
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The holidays are right around the corner and we're discussing the perfect timeline for procedures so you look and feel your best for all those holiday parties.

From major surgery to quick glow-up facials, we're covering what you can do at every stage leading up to your events.

What You'll Learn:

  • The ideal timeline for facial surgery before the holidays.
  • When to schedule Botox based on whether you're a regular patient or first-...
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We're wrapping up your breast surgery questions! This time we're tackling small reductions with lifts and when you can get back to intense workouts like assisted pull-ups. Your specific fitness questions answered.

What You'll Learn:

  • How you can g...
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We're back answering your real breast surgery questions! This time we're tackling mesh use, internal bras with lifts, and mastectomy reconstruction - all the super specific technical questions you've been asking about.

What You'll Learn:

  • Whether ...
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We have compiled all your questions, starting with the first segment about breast implants.

From dual plane confusion to teardrop implant disappoint, we're talking about the technical details you actually want to know and explaining why implant technology has evolved so much that old ways of doing things might not apply anymore.

What You'll Learn:

  • What dual plane implants actually are.
  • Will going up 5 cc's make any visible dif...
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There's a lot of hesitation and judgment around labiaplasty, but we perform these procedures multiple times per week and see incredible transformations.

Many women are scared to talk to their doctors about this or get brushed off. We want to end the stigma by sharing the real reasons patients choose this procedure.

What You'll Learn:

  • Why patients often get brushed off by other healthcare providers who say "it's all normal".
  • Wh...
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