Cosmetic Surgery

One in seven Americans plans to use a GLP-1 by 2026—and it’s already changing plastic surgery.
Monique talks with Janelle, COO of La Jolla Cosmetic Surgery Centre, about how GLP-1 medications are reshaping weight loss, surgical planning, and long-term results.
Janelle shares her personal experience using low-dose GLP-1s for maintenance, and why they can make weight management feel more sustainable rather than mentally exhausting.
They discuss why customization matters, how microdosing fits into real life, and what people often get wrong about side effects and stigma. Hear how weight loss ties into surgical outcomes and why physician-led programs make a difference.
Links
Read the full story discussed: Plastic Surgery Practice, 1 in 7 Americans Plan To Use GLP-1s in 2026, Survey Finds https://plasticsurgerypractice.com/treatment-solutions/innovations/industry-trends/1-7-americans-plan-use-glp-1s-2026-survey-finds/
Learn more about the Signature Skinny Shot https://www.ljcsc.com/procedures/cosmetic-surgery/body/prescription-weight-loss-programs/
Read our prescription weight loss program reviews https://www.ljcsc.com/reviews/procedures/prescription-weight-loss-programs-reviews/
Watch our silly office video of the Dream Team turning down Crumbl cookies thanks to the Skinny Shot https://www.instagram.com/reel/DTtvoVQCYOc/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==
Learn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, 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.
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.
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.
To learn more, go to https://www.ljcsc.com/ or follow the team on Instagram https://www.instagram.com/ljcsc/
Watch the LJCSC Dream Team on YouTube https://www.youtube.com/@LaJollaCosmeticSurgeryCentre/
The La Jolla Cosmetic Surgery Podcast is a production of The Axis: https://www.theaxis.io/
Theme music: Busy People, SOOP
00:00 – Why Has Interest in GLP-1s Exploded?
01:33 – Janelle’s Personal Story: Why She Started Using GLP-1s
04:53 – Microdosing & “Training Wheels” for Weight Maintenance
07:02 – GLP-1s in Real Life: Cravings, Social Eating & Media Stigma
11:06 – How the Skinny Shot Program Ensures Safety & Custom Dosing
13:03 – Janelle’s Current Maintenance Routine (Low-Dose Strategy)
14:44 – What Surprised Her Most About Using GLP-1s?
16:40 – Health Benefits Beyond Weight Loss (Metabolism, Aging, Risk Reduction)
17:57 – How GLP-1s Changed Patient Care at the Surgery Center
20:19 – Filling the Gap: Helping Surgery Patients Lose 10–15 Pounds
22:24 – Microdosing & Social Acceptance of GLP-1s
23:22 – Most Requested Procedures After Weight Loss
25:00 – Biggest Misconceptions: Muscle Loss, Hair Loss & Safety
27:17 – Why Patients Choose a Doctor-Managed Program Over Online Options
29:14 – Custom Follow-Up: High-Touch vs. Independent Tracking
30:39 – Final Thoughts & How to Get Started with the Skinny Shot
Do women regret trying to cut corners with explant surgery?
Many women remove implants first, let everything settle, and then decide if they want more. Dr. Swistun explains why this approach helps patients avoid regret and unnecessary surgery.
Full podcast episode: https://youtu.be/bbXpqlInsu0
Meet San Diego explant surgeon Dr. Luke Swistun https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-luke-swistun/
Want fuller breasts, but don’t want implants?
La Jolla plastic surgeon Dr. Luke Swistun explains natural augmentation options that use your own tissue to improve shape, balance, and contour without committing to implant maintenance.
Full podcast episode: https://youtu.be/bbXpqlInsu0
Meet San Diego explant surgeon Dr. Luke Swistun https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-luke-swistun/
Taking implants out is one decision. What comes after is another.
La Jolla plastic surgeon Dr. Luke Swistun explains why explant surgery alone doesn’t always meet expectations and how he approaches shape without implants.
Full podcast episode: https://youtu.be/bbXpqlInsu0
Meet San Diego explant surgeon Dr. Luke Swistun https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-luke-swistun/
Some women just want everything out for peace of mind.
La Jolla plastic surgeon Dr. Luke Swistun explains why certain women choose full capsule removal, what risks are rare but real, and how precision impacts long-term outcomes.
Full podcast episode: https://youtu.be/bbXpqlInsu0
Meet San Diego explant surgeon Dr. Luke Swistun https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-luke-swistun/
“Shouldn’t taking implants out be simpler and cheaper?”
That’s the logical thought… but explant surgery is rarely just removal.
Dr. Luke Swistun explains why breast implant removal often involves correcting years of changes from implants, not just taking them out.
Full podcast episode: https://youtu.be/bbXpqlInsu0
Meet San Diego explant surgeon Dr. Luke Swistun https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-luke-swistun/
Why does breast implant removal sometimes cost as much—or more—than getting implants in the first place? It sounds backwards… until you hear what actually goes into explant surgery.
Explant surgery isn’t just about removing implants; it’s often about correcting the changes implants cause over time. While simple removal can be straightforward, adding capsule removal requires far more precision and time.
San Diego plastic surgeon Dr. Luke Swistun explains what happens to the breasts after implants are removed and why removal alone doesn’t always deliver the look women want. Hear how lifts, auto-augmentation, and fat transfer can help restore shape using your own tissue.
Dr. Swistun walks through how to think about long-term goals, costs, and recovery, and why doing it right the first time can mean fewer surgeries down the road.
Links
Meet San Diego explant surgeon Dr. Luke Swistun https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-luke-swistun/
View cosmetic surgery prices (https://www.ljcsc.com/pricing-promotions/plastic-surgery-prices/) and before and after photos at La Jolla Cosmetic Surgery Centre (https://www.ljcsc.com/gallery/)
Listen to our previous episode, Fuller Breasts Using Your Own Tissue? Auto-Augmentation Explained https://www.ljcsc.com/blog/podcast-fuller-breasts-using-your-own-tissue-auto-augmentation-explained/
Listen to our previous episode, What Really Happens to Your Breasts After Implant Removal https://www.ljcsc.com/blog/podcast-what-really-happens-to-your-breasts-after-implant-removal/
Listen to our previous episode, “Holistic” Explant Surgery: Buzzword or Reality? https://www.ljcsc.com/blog/podcast-holistic-explant-surgery-buzzword-or-reality/
Learn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, 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.
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.
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.
To learn more, go to https://www.ljcsc.com/ or follow the team on Instagram https://www.instagram.com/ljcsc/
Watch the LJCSC Dream Team on YouTube https://www.youtube.com/@LaJollaCosmeticSurgeryCentre/
The La Jolla Cosmetic Surgery Podcast is a production of The Axis: https://www.theaxis.io/
Theme music: Busy People, SOOP
00:00:00 Intro
00:00:05 Why explant can cost as much more more than implants
00:01:50 What a capsule is and why it matters
00:02:35 “Factory settings” and total implant + capsule removal
00:03:27 Skin changes, sagging, and breast shape after explant
00:04:13 Lift, auto‑augmentation, and fat grafting options
00:04:48 Price ranges: augmentation vs. explant vs. capsulectomy
00:06:12 Who should consider capsule removal and why
00:09:11 Types of capsule surgery (capsulotomy, partial, total, intact, en bloc)
00:10:48 Why capsule work adds time, risk, and cost
00:11:37 How breasts look after explant and aging effects
00:13:09 Reconstructive options without implants
00:14:15 Goal‑setting: maintenance, volume, and realistic expectations
00:16:03 Upfront cost vs long‑term benefits of non‑implant options
00:18:03 Pricing info, financing, and budgeting for surgery
00:19:28 Avoiding regrets and staging surgery without “burning bridges”
00:20:51 Wrap‑up
Drains aren’t there to torture you. 😅
Dr. Salazar explains why drains and garments are necessary after some plastic surgery procedures.
Full podcast episode: https://youtu.be/aBJKcLGIQAQ
Meet San Diego plastic surgeon Dr. Hector Salazar https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-hector-salazar-reyes/
Areola reduction requires a scar. Dr. Salazar explains why when done precisely, it blends into the natural border and becomes very hard to see over time.
Full podcast episode: https://youtu.be/-_crALJTSPM
Meet San Diego plastic surgeon Dr. Hector Salazar-Reyes https://www.ljcsc.com/about/meet-the-team/plastic-surgeons/dr-hector-salazar-reyes/