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The La Jolla Cosmetic Surgery Podcast - With San Diego’s Most Loved Plastic Surgeons

Go beyond the surface with insights from the plastic surgery experts at La Jolla Cosmetic Surgery Centre. 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.

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Recent Episodes

How to Find Out What Your Surgery Costs Before You Ever Come In
247
June 23, 2026

How to Find Out What Your Surgery Costs Before You Ever Come In

For a lot of women, the most intimidating part of a cosmetic procedure isn't the operating room. It's the money, and the quiet worry that asking about it makes you look like you can't afford it. LJCSC built its whole intake process around taking that fear off the table long before you walk through the door. Janelle Robinson returns to show how the LJC team takes the mystery out of the price from the very first phone call. Ballpark pricing is published online and quoted right over the phone, so y
Why Working Out Can Make “Man Boobs” Worse
246
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. Across the conversation with hostess Monique Ramsey, Dr. Salazar walks through the “polo shirt test” that tells most men whether they're a candidate,
What You’ll Actually Look Like After Explant: The Two-Year Timeline
245
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. 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 M
Why Day Three Feels Like a Mistake (But Usually Isn't)
244
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. 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 f
Meet Dr. Hector Salazar-Reyes
243
May 28, 2026

Meet Dr. Hector Salazar-Reyes

At ten or eleven years old, Dr. Hector Salazar watched his grandmother step off a plane looking dramatically younger than she had a month earlier. She had quietly traveled out of town for cosmetic surgery, healed through the swelling and bruising in private, and come home presentable. That moment redirected a kid who, a few years earlier, had been caping the family dog like a bullfighter — toward seventeen years of training that would make him a board-certified plastic surgeon. Monique talks wit
Life WAY After Mommy Makeover: Dr. Breister on Recovery Years Later
242
May 19, 2026

Life WAY After Mommy Makeover: Dr. Breister on Recovery Years Later

Dr. Diana Breister, a board-certified plastic surgeon who has done mommy makeovers in San Diego for over twenty years, joins us to talk about everything that happens after the six-week post-op visit. You can do planks, but no crunches for at least a year. The rectus muscles she stitches back together during a tummy tuck stay hyperactive long after the skin looks healed, and trying to fire them up too early can send them straight into spasm. Scars are still maturing for up to two years. Future pr
5 Years, 5 Surgeons, 5 Moments: The Best of the La Jolla Cosmetic Podcast
241
May 13, 2026

5 Years, 5 Surgeons, 5 Moments: The Best of the La Jolla Cosmetic Podcast

Six months after her breast implants came out, a young woman handed Dr. Luke Swistun a full, untouched bottle of Xanax — the same prescription she had been burning through at three to four pills a day before the explant. Stories like hers are why Monique Ramsey is marking 230 episodes and five years of the La Jolla Cosmetic Podcast by going back to the archive. Monique counts down one moment from each of the five LJCSC surgeons — Dr. Johan Brahme on why a brow lift feminizes women but makes men
What “En Bloc” Really Means: Dr. Swistun on the Four Types of Capsulectomy
240
May 5, 2026

What “En Bloc” Really Means: Dr. Swistun on the Four Types of Capsulectomy

When breast implant illness support groups started telling each other to ask their plastic surgeon for an “en bloc capsulectomy,” they were borrowing a term from cancer surgery — and asking for something most surgeons knew was impossible. The plastic surgery community didn’t correct them. They listened, and then they renamed it. Dr. Luke Swistun walks hostess Monique Ramsey through the Breast Surgery Collaborative Community Consensus and the four types of capsulectomy that came out of it: total
A Lesson in Trusting Your Surgeon: Ella’s Breast Augmentation
239
April 28, 2026

A Lesson in Trusting Your Surgeon: Ella’s Breast Augmentation

Most patients walk into a breast augmentation consultation hoping to leave with answers. Ella walked in with research, reference photos, and a clear vision — and then made the deliberate decision to trust her plastic surgeon’s judgment in the operating room. Born and raised on Oahu and a self-described petite, very active person, Ella spent over a year researching plastic surgeons in Hawaii and San Diego before booking a consultation at La Jolla Cosmetic Surgery Centre with Dr. Hector Salazar-Re
Chin, Nose, Tear Troughs: When Filler Hits Its Limit
238
April 21, 2026

Chin, Nose, Tear Troughs: When Filler Hits Its Limit

Filler is an easy first step — quick, pretty much reversible, affordable. But there’s a moment patients know well: you’ve been filling the same area for years, and something still isn’t quite right. Dr. Kiersten Riedler, facial plastic surgeon at La Jolla Cosmetic Surgery Centre who operates and injects, walks us through the three most common filler-versus-surgery conversations she has in the consult room — chin implants, rhinoplasty revisions, and tear troughs, where filler and fat transfer eac